James Zadroga 9/11 Health and Compensation Act of 2010, 54112-54126 [2011-22295]
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2032. See section 203(b). A covered
jurisdiction may terminate Section 203
coverage earlier if it can prove in a
declaratory judgment action in a United
States district court, that the illiteracy
rate of the applicable language minority
group is equal to or less than the
national illiteracy rate, as described in
section 203(d) of the Act.
subject to the Act’s special provisions,
such as section 5 (regarding
preclearance of changes in voting laws)
and section 8 (regarding federal
observers).2 See part 51 of this chapter.
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■ 6. Amend § 55.11 by revising the last
sentence to read as follows:
5. Amend § 55.8 by revising paragraph
(b) to read as follows:
§ 55.11
■
§ 55.8 Relationship between section 4(f)(4)
and section 203(c).
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*
*
*
*
(b) Jurisdictions subject to the
requirements of section 4(f)(4)—but not
jurisdictions subject only to the
requirements of section 203(c)—are also
General.
* * * For those jurisdictions covered
under section 203(c), the coverage
determination (indicated in the
appendix) may specify the particular
language minority group (in
parentheses) for which the jurisdiction
is covered, but does not specify the
language or dialect to be used for such
group.
7. Amend § 55.23 by revising
paragraph (b) to read as follows:
■
§ 55.23 Enforcement by the Attorney
General.
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(b) Also, certain violations may be
subject to criminal sanctions. See
sections 12(a) and (c) and 205.
8. Revise the Appendix to part 55 to
read as follows:
■
Appendix to Part 55—Jurisdictions
Covered Under Sections 4(f)(4) and
203(c) of the Voting Rights Act of 1965,
as Amended [Applicable language
minority group(s)]
Coverage under sec. 4(f)(4) 1
Jurisdiction
Coverage under sec. 203(c) 2
1 Coverage
determinations for Section 4(f)(4) were published at 40 FR 43746 (Sept. 23, 1975), 40 FR 49422 (Oct. 22, 1975), 41 FR 783 (Jan.
5, 1976) (corrected at 41 FR 1503 (Jan. 8, 1976)), and 41 FR 34329 (Aug. 13, 1976). The Voting Section maintains a current list of those jurisdictions that have maintained successful declaratory judgments from the United States District Court for the District of Columbia pursuant to section 4 of the Act on its Web site at https://www.justice.gov/crt/about/vot/. See § 55.7 of this part.
2 Coverage determinations for Section 203 based on 2000 Census data were published at 67 FR 48871 (July 26, 2002). Subsequent coverage
determinations for Section 203 will be based on 2010 American Community Survey census data and subsequent American Community Survey
data in 5-year increments, or comparable census data. See section 203(b)(2)(A). New coverage determinations for Section 203 by the Director of
the Census Bureau are forthcoming.
Dated: August 24, 2011.
Eric H. Holder, Jr.,
Attorney General.
[FR Doc. 2011–22160 Filed 8–30–11; 8:45 am]
BILLING CODE 4410–13–P
DEPARTMENT OF JUSTICE
28 CFR Part 104
[Docket No. CIV 151]
RIN 1105–AB39
James Zadroga 9/11 Health and
Compensation Act of 2010
Department of Justice.
Final rule.
AGENCY:
ACTION:
On January 2, 2011, President
Obama signed into law the James
Zadroga 9/11 Health and Compensation
Act of 2010 (Zadroga Act). Title II of the
Zadroga Act reactivates the September
11th Victim Compensation Fund of
2001 and requires a Special Master,
appointed by the Attorney General, to
provide compensation to any individual
(or a personal representative of a
deceased individual) who suffered
physical harm or was killed as a result
of the terrorist-related aircraft crashes of
September 11, 2001, or the debris
removal efforts that took place in the
immediate aftermath of those crashes.
The Attorney General appointed Sheila
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SUMMARY:
2 In addition, a jurisdiction covered under section
203(c) but not under section 4(f)(4) is subject to the
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L. Birnbaum to serve as Special Master
and administer the Fund. On June 21,
2011, the Special Master issued a Notice
of Proposed Rulemaking that proposed
to amend the regulations implementing
the Fund to reflect the changes made by
the Zadroga Act. After reviewing the
extensive public comments and meeting
with numerous victims, victims’
families, and other groups, the Special
Master is issuing this final rule and
associated commentary, which make
certain clarifications and changes that
are designed to address issues that have
been raised. Specifically, the final rule
clarifies, supplements, and amends the
proposed rule by, among other things:
Expanding the geographic zone
recognized as a ‘‘9/11 crash site’’;
providing greater consistency with the
World Trade Center Health Program by
adding additional forms of proof that
may be used to establish eligibility; and
clarifying the types of fees and charges
that would come within the caps on
amounts that a claimant’s representative
may charge in connection with a claim
made to the Fund.
This final rule takes effect on
October 3, 2011.
DATES:
FOR FURTHER INFORMATION CONTACT:
Kenneth L. Zwick, Director, Office of
Management Programs, Civil Division,
U.S. Department of Justice, Main
Building, Room 3140, 950 Pennsylvania
Act’s special provisions if it was covered under
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Avenue, NW., Washington, DC 20530,
telephone 855–885–1555 (TTY 855–
885–1558).
SUPPLEMENTARY INFORMATION:
Background
Pursuant to Title IV of Public Law
107–42 (‘‘Air Transportation Safety and
System Stabilization Act’’) (2001 Act),
the September 11th Victim
Compensation Fund of 2001 was open
for claims from December 21, 2001,
through December 22, 2003. The Fund
provided compensation to eligible
individuals who were physically
injured as a result of the terrorist-related
aircraft crashes of September 11, 2001,
and to personal representatives of those
who died as a result of the crashes.
Special Master Kenneth R. Feinberg
was appointed by the Attorney General
to administer the Fund. The Fund was
governed by Interim Final Regulations
issued on December 21, 2001, see 66 FR
66274, and by Final Regulations issued
on March 13, 2002, see 67 FR 11233.
During its two years of operation, the
Fund distributed over $7.049 billion to
survivors of 2,880 persons killed in the
September 11th attacks and to 2,680
individuals who were injured in the
attacks or in the rescue efforts
conducted thereafter. In 2004, Special
Master Feinberg issued a report
describing how the fund was
administered. See Final Report of the
section 4(b) prior to the 1975 Amendments to the
Act.
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Special Master for the September 11th
Victim Compensation Fund of 2001,
available at https://www.justice.gov/
final_report.pdf.
On January 2, 2011, President Obama
signed the Zadroga Act into law. Title
I of the Zadroga Act establishes a
program within the Department of
Health and Human Services to provide
medical monitoring and treatment
benefits to eligible individuals. Title II
amends the 2001 Act and reopens the
Fund. Among other changes, Title II
adds new categories of beneficiaries for
the Fund and sets new filing deadlines.
It also imposes a cap on the total awards
that can be paid by the Fund and limits
the fees that an attorney may receive for
awards made under the Fund.
The Zadroga Act did not appropriate
administrative funds for the Fund to
begin taking and processing claims. On
April 15, 2011, President Obama signed
into law Public Law 112–10, the
continuing budget resolution for 2011,
which permits the Fund to draw on the
money originally allocated in the
Zadroga Act in order to pay for its
administrative expenses, beginning on
October 1, 2011.
The Attorney General appointed
Sheila L. Birnbaum to serve as Special
Master and to administer the Fund. On
June 21, 2011, the Special Master issued
the Notice of Proposed Rulemaking,
which provided for a 45-day public
comment period.
The Department received 95
comments since the publication of the
proposed rules. The Special Master’s
office has reviewed each of these
comments. In addition, the Special
Master has participated in town hall
meetings with several hundred victims,
victims’ advocates, and others. The
Special Master has considered all
comments in promulgating the final
rules. Significant comments received in
response to the proposed rules and any
significant changes are discussed below.
Significant Comments or Changes
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I. Eligibility
In order to be eligible for the Fund,
Title II of the Zadroga Act requires an
individual to have been present at a
‘‘9/11 crash site’’ at the time or in the
immediate aftermath of the crashes, and
have suffered ‘‘physical harm or death
as a result of’’ one of the air crashes or
debris removal. The Department
received many comments regarding the
interpretation of these provisions in the
proposed rule.
(a) ‘‘9/11 Crash Site’’
In requiring that a claimant have been
present at a ‘‘9/11 crash site’’ in order
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to receive compensation from the Fund,
Title II of the Zadroga Act recognizes
that such sites include more than just
the World Trade Center, Pentagon, and
Shanksville, Pennsylvania sites and the
buildings that were destroyed as a
result. Title II of the Zadroga Act defines
‘‘9/11 crash site’’ to include both the
crash sites themselves, routes of debris
removal, and any area that is contiguous
to one of the crash sites that the Special
Master ‘‘determines was sufficiently
close to the site that there was a
demonstrable risk of physical harm
resulting from’’ the impact of the aircraft
or subsequent fire, explosions, or
building collapses.
During the Fund’s first iteration,
Special Master Feinberg applied a
regulation that required him to make
this same determination. At that time,
the most prevalent physical injuries
were blunt trauma injuries suffered by
those who were struck by debris or who
were in the zone in which there was a
demonstrable risk of physical harm from
falling debris, explosions, or fire.
Accordingly, the relevant area was
defined to include the immediate area
surrounding the World Trade Center:
Starting from the intersection of Reade
and Centre Streets, the northern
boundary ran west along Reade Street to
the Hudson River; the western boundary
was the Hudson River; the southern
boundary ran from the Hudson River,
east along the line of W. Thames Street,
Edgar Street and Exchange Place to
Nassau Street; and the eastern
boundary, starting from the intersection
of Exchange Place and Nassau Street,
ran north along Nassau Street to the
intersection of Centre and Reade Streets.
See Final Report of the Special Master
for the September 11th Victim
Compensation Fund of 2001 at 19 and
n. 53. The Zadroga Act, which covers
conditions that may have been caused
over longer periods of time and thus are
not limited to harms caused by falling
debris, states that the term ‘‘9/11 crash
site’’ ‘‘includ[es]’’ that original area but
could also include other areas.
The proposed rule suggested that the
term ‘‘9/11 crash site’’ includes the area
in Manhattan south of the line that runs
along Reade Street from the Hudson
River to the intersection of Reade Street
and Centre Street, south on Centre
Street to the Brooklyn Bridge, and along
the Brooklyn Bridge, or any other area
contiguous to the crash sites that the
Special Master determines was
sufficiently close to the site that there
was a demonstrable risk of physical
harm resulting from the impact of the
aircraft or any subsequent fire,
explosions, or building collapses
(including the immediate area in which
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the impact occurred, fire occurred,
portions of buildings fell, or debris fell
upon and injured individuals). Those
proposed boundaries are substantially
broader than those used in the Fund’s
first iteration and narrower than
boundaries used for the World Trade
Center (WTC) Health Program in Title I
of the Act.
Several commenters stated that the
proposed boundaries were too narrow.
Some commenters noted that debris
removal barges were located north of
Reade Street. With respect to these
comments, areas related to debris
removal barges will be covered. The
definition of ‘‘9/11 crash site’’ in the
Zadroga Act and proposed and final
rules includes ‘‘routes of debris
removal, such as barges and Fresh
Kills.’’ Another commenter urged that
survivors who were present at the
Shanksville, Pennsylvania, or Pentagon
sites should be covered. The Zadroga
Act and proposed and final rules cover
those who were present at, among other
things, the ‘‘Pentagon site, and
Shanksville, Pennsylvania site.’’ As a
result, both the areas in which the
barges were located and the Pentagon
and Shanksville sites will be covered.
Some suggested that the Fund’s
geographic definition of ‘‘9/11 crash
site’’ should be coextensive with the
geographic boundaries identified in
Title I of the Zadroga Act, for the WTC
Health Program. Such boundaries would
ensure complete consistency in
geographic eligibility under the two
programs. While that consistency has
value, Title II of the Zadroga Act
requires the Special Master to make an
independent determination based on the
area in which there was a demonstrable
risk of harm. Accordingly, the Special
Master must review evidence of that
risk. That evidence is discussed further
below.
Some commenters indicated that dust
from the explosions traveled north of
Reade Street, as well as into parts of
Brooklyn, thereby creating a heightened
risk of harm in those areas, too. Some
of these comments indicated that dust
was visibly present north of Reade
Street. A few commenters noted further
that even in areas in which dust was not
visibly present, harmful microscopic
dust particles may have traveled farther
north.
A review of the comments and of
available scientific evidence suggests
that the risk of physical harm differed
depending on the level of an
individual’s exposure. Based on the
comments that were submitted, as well
as further examination of the available
evidence, the Special Master has
determined that individuals in the area
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of Manhattan south of Canal Street
suffered an increased risk of harm as a
result of the crashes, depending on the
duration, timing and amount of
exposure. In addition to the dust that
was present most heavily in the area
south of Reade Street, there is also
evidence suggesting that prolonged
exposure to dust between Reade Street
and Canal Street created a demonstrable
risk of physical harm. There are also
substantial numbers of patients who live
between Reade Street and Canal Street
that are receiving treatment in the
World Trade Center Environmental
Health Center program. Based on this
information, the final rule expands the
zone of geographic eligibility to include
the area south of Canal Street.
While there is evidence that the
smoke plume from the site traveled
beyond Manhattan south of Canal
Street, the concentrations of
contaminants in the smoke cloud were
most intense within and very near
Ground Zero. By the time the smoke
cloud had reached other areas, such as
Brooklyn, the particulate concentrations
were significantly diluted. Thus while
the final rule gives the Special Master
discretion to identify, based on
additional evidence, additional areas in
which there was a demonstrable risk of
harm, the initial zone of coverage will
include the World Trade Center,
Pentagon, and Shanksville sites; the
buildings that were destroyed; the area
south of Canal St. in lower Manhattan;
and the routes of debris removal. It is
important to bear in mind, however,
that eligibility for the Fund requires not
only that a claimant have been present
at one of these 9/11 crash sites, but also
that the claimant satisfy the Fund’s
other eligibility criteria, including that
the claimant’s injury was ‘‘a result of’’
the aircraft crashes or debris removal.
Depending on the condition, this
criterion likely will be satisfied only by
individuals with significant exposure,
and thus individuals who have transient
or limited exposure are unlikely to meet
this requirement.
Finally, a few comments expressed
uncertainty regarding whether claimants
must live in the New York area to be
eligible for the Fund. The Special
Master does not believe that these
questions require any changes to the
proposed rule. Although the proposed
and final rules address the location of a
claimant in the immediate aftermath of
the attacks, there is no requirement
regarding a claimant’s current residence
or location. Therefore, eligibility is not
limited to those who currently live in
the New York area.
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(b) Physical Harm or Death as a Result
of the Crash or Debris Removal
In requiring that a claimant have
suffered ‘‘physical harm or death as a
result of’’ one of the air crashes or the
debris removal, the Zadroga Act also
requires the Special Master to determine
which physical harms and deaths were
‘‘a result of’’ the crashes or debris
removal within the meaning of the
statute.
Although Title II of the Zadroga Act
does not provide additional specificity
about the harms that are to be covered
by the Fund, Title I of the Zadroga Act,
which establishes the WTC Health
Program, contains a list of illnesses and
health conditions for which exposure to
airborne toxins, other hazards and any
other adverse conditions resulting from
the September 11, 2001 terrorists attacks
could be determined by experienced
medical professionals to be substantially
likely to have been a significant factor
in aggravating, causing, or contributing
to an illness or health condition, as well
as procedures for adding additional
conditions to the list over time. That
title also provides that in order for an
individual to receive treatment under
the WTC Health Program, there must be
an individual determination that the
WTC attacks were ‘‘substantially likely
to be a significant factor in aggravating,
contributing to, or causing the illness or
health condition.’’
The proposed rule required the Fund
to maintain and publish a list of
presumptively covered conditions that
resulted from the air crashes or debris
removal. This list would consist of the
physical injuries and conditions that are
found, under the WTC Health Program,
to be WTC-related health conditions.
The proposed rule also required the
Special Master to update this list so that
it includes not only those physical
conditions listed in Title I of the
Zadroga Act, but also any additional
physical conditions that the WTC
Health Program determines to be WTCrelated.
General approach. Many individuals
and organizations commented on the
general approach that the Fund should
take on these issues. One set of
comments noted that in order to ensure
that the available funds go to those most
deserving, it will be important for the
Fund to ensure that the compensated
injuries are, in fact, caused as a result
of the crashes and debris removal. Other
comments rightly noted the sacrifices
made by the first responders and other
claimants, and urged that the Fund
reciprocate the generosity that they
showed. Through the processes laid out
in Zadroga Act and the final rule, the
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Fund will seek to ensure that eligible
claimants are compensated in the
manner Congress provided, and that
payments to the deserving are not
diluted by payments made to claimants
who do not actually meet the criteria
laid out in the law.
Cancer and other conditions. The
most frequently discussed topic in these
comments concerned eligibility for
individuals with cancer. Most of these
comments argued that cancer should be
considered a WTC-related condition.
Several commenters stated that many
first responders who worked or
volunteered at Ground Zero have
developed cancer, and that it is likely
that these conditions resulted from the
air crashes or debris removal. To a lesser
extent, other illnesses were also
suggested for coverage.
After considering all of the comments
and the available evidence, the Special
Master will continue to rely on the
medical judgment made by the WTC
Health Program. While the Fund will
continue to evaluate new evidence as it
becomes available, and will add to its
list of presumptively covered conditions
any physical injury condition that the
WTC Health Program recognizes as
WTC-related, the final rule will not add
any additional conditions at this time.
Title I of the Zadroga Act contains a list
of illnesses and health conditions that
experienced medical professionals have
determined could be found on an
individual basis to be substantially
likely to have been aggravated, caused,
or contributed to by exposure to
airborne toxins, other hazards and any
other adverse conditions resulting from
the September 11, 2001 terrorists
attacks. This list does not include any
form of cancer. In addition, the Zadroga
Act requires the Administrator of the
WTC Health Program to consider other
conditions for coverage over time, and
specifically to ‘‘periodically conduct a
review of all available scientific and
medical evidence, including findings
and recommendations of Clinical
Centers of Excellence, published in
peer-reviewed journals to determine if,
based on such evidence, cancer or a
certain type of cancer should be added
to the applicable list of WTC-related
health conditions.’’ 42 U.S.C. sec.
300mm–22(a)(5)(A).
The first periodic review by the WTC
Health Program Administrator found
insufficient scientific and medical
evidence for adding cancer to the list of
covered conditions. See First Periodic
Review of Scientific and Medical
Evidence Related to Cancer for the
World Trade Center Health Program; as
prepared by the Department of Health
and Human Services, Centers for
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Disease Control and Prevention,
National Institute for Occupational
Safety and Health, available at https://
www.cdc.gov/niosh/topics/wtc/prc/prc1.html. That review was based on peerreviewed scientific literature, findings
and recommendations solicited from
clinics and other stakeholders who
monitor the health of WTC first
responders, and information solicited
from the public through notices issued
in March 2011. The WTC Health
Program’s second review will consider
additional evidence that has become
available since the initial review, and
determine whether it provides a
sufficient basis to identify particular
types of cancer as WTC-related
conditions. If the WTC Health Program
determines that certain forms of cancer
should be added to the list of WTCrelated conditions, the final rule
requires the Special Master to add such
conditions to the list of presumptively
covered conditions for the Fund.
PTSD and mental health conditions.
Several comments argued that the Fund
should include individuals with PostTraumatic Stress Disorder (PTSD) or
other mental health conditions. The
Special Master is unable to change the
final rule to accept these comments. As
in the Fund’s first iteration, the statute
creating the Fund limits eligible injuries
to those consisting of ‘‘physical harm.’’
While individuals with mental or
emotional injuries may be eligible for
treatment by the WTC Health Program,
the statutory language does not permit
the Fund to cover individuals with only
mental and emotional injuries.
Extraordinary circumstances. Finally,
the Special Master notes that the final
regulations do not make the list of
presumptively covered conditions the
only conditions for which a claimant
may seek coverage from the Fund.
Where the claimant satisfies other
eligibility criteria, including presence at
a 9/11 crash site, and establishes
extraordinary circumstances that were
not adequately taken into account in the
list of presumptively covered
conditions, the proposed rule will
permit the Special Master to find the
claimant eligible even if the injury in
question is not on the list of
presumptively covered conditions.
Though one commenter suggested that
the ‘‘extraordinary circumstances’’ test
is too high a bar, as a result of the
Fund’s reliance on the WTC Health
Program’s process for making decisions
based on the best available science, it is
anticipated that it will be the unusual
case in which a condition not on the list
of presumptively covered conditions
would be covered. Any lower threshold
for that determination would invite
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much larger volumes of claims that
would require extensive, expensive
reviews, sapping administrative costs
out of the funds available to pay other
victims, but would be highly unlikely to
result in payable claims. Given those
trade-offs, the final rule maintains the
‘‘extraordinary circumstances’’
standard.
(c) Immediate Aftermath
One comment suggested that, because
many workers continued their efforts
after May 30, 2002, the period defined
as the ‘‘immediate aftermath’’ should be
defined to match the eligibility
requirements for the WTC Health
Program, and that individuals who
suffered harms after May 30, 2002,
should be eligible if they can meet other
eligibility requirements. Because the
Zadroga Act defines the ‘‘immediate
aftermath’’ to end at May 30, 2002, the
Fund has no discretion to extend that
deadline. Another commenter suggested
that regulations make clear that
individuals whose work spanned the
period before and after May 30, 2002 are
eligible to file claims and that any injury
sustained by such an individual that is
found to have occurred (either in whole
or in part) from work at the site after
May 30, 2002, shall be deemed to
‘‘relate back’’ to the individual’s work at
the WTC Site prior to May 30, 2002. The
Special Master does not believe that this
comment requires a change to the rule.
The Zadroga Act requires that an
individual have been present prior to
May 30, 2002 in order to be eligible; an
individual’s eligibility will not be
affected by whether he or she continued
to be present after that date. Once an
individual is deemed to have been
eligible based on presence during the
relevant time period, it will not be
necessary for the Fund to determine the
precise date on which the condition was
deemed to have been caused.
(d) Forms of Proof
Several comments also sought to
ensure that, to the greatest extent
possible, the information required to
determine eligibility in the Fund are
consistent with the information required
for participation in the WTC Health
Program. Section 104.22(b)(3)(ii) has
been modified to include certain forms
of proof that will be considered in the
WTC Health Program. The forms of
proof listed there are not exhaustive,
and the Fund will consider other
appropriate forms of proof.
II. Timing and Effect of Filing Claims
Several comments focused on the
times by which claimants must file
claims, and the consequences of those
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filings on any September 11th-related
civil litigation.
Timing. Commenters expressed
concerns regarding the two-year statute
of limitations on filing claims. One
commenter indicated that if a new
condition is added as a presumptively
covered condition in the Fund’s third
year, claimants who had that condition
but had not applied in the first two
years should not be barred from filing a
claim. The Fund agrees that the Zadroga
Act’s two-year statute of limitations
does not bar that claim, and that
individuals have two years from the
time that they became eligible to file a
claim. Sections 104.62(a)(1) and (a)(2) of
the final rule make clear that the twoyear statute of limitations on a claim
does not begin to run before an
individual is eligible to file the claim.
One commenter also noted that there
may be instances in which the two-year
statute of limitations extends past the
Fund’s five-year limitation on accepting
claims. The Zadroga Act provides that
notwithstanding the two-year statute of
limitations, claims may not be filed after
the date that is five years after the
regulations become final. The Special
Master has no discretion to change the
final rule in this respect.
Relationship to litigation. There were
a variety of concerns expressed
regarding the requirement that
claimants in pending WTC-related
litigation withdraw from their litigation
prior to submitting a claim to the Fund.
One comment contended that the
requirement should be eliminated
entirely, because it puts claimants who
already settled their actions on different
footing from those who have not already
settled their actions, will encourage
litigants who might have been
successful in their litigation to
withdraw from it and apply instead to
the Fund, and will reduce the funds
available to pay claims from the Fund.
There were also concerns that requiring
claimants to withdraw from litigation
within 90 days of the final regulations
would force them to give up their civil
actions without knowing whether they
would be eligible for payment under the
Fund; the commenter proposed that the
Fund require withdrawal of the civil
action only after the Fund has advised
the claimant whether he or she would
be eligible for payment. With respect to
both issues, the requirement to
withdraw from pending WTC-related
litigation within 90 days of the
regulations becoming final is a statutory
provision, which the Special Master has
no authority to disregard. Nor may the
Fund accept the commenter’s suggestion
to determine a potential claimant’s
eligibility prior to requiring the claimant
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to withdraw a pending suit. The statute
requires such individuals to withdraw
from pending litigation within 90 days
of the promulgation of these regulations;
otherwise the individual ‘‘may not
submit a claim.’’ Therefore, the Fund
cannot accept applications that do not
satisfy this requirement.
One comment raised the specific
concern that the filing of a claim with
the Fund should not preclude a
claimant from later filing a civil action
regarding harms that a claimant later
suffers that are unrelated to the harm for
which the claim was submitted. This
comment suggests that the release that
claimants were required to sign in the
Fund’s first iteration was overly broad.
By law, when a claimant submits a
claim, ‘‘the claimant waives the right to
file a civil action (or to be a party to an
action) in any Federal or State court for
damages sustained as a result of the
terrorist-related aircraft crashes of
September 11, 2001, or for damages
arising from or related to debris
removal.’’ Section 104.61 of the rule
requires the Special Master to inform
potential claimants of this statutory
requirement. While the final rule
permits claimants to amend their claims
to add new conditions in certain
circumstances, the Fund does not have
the authority to change the terms or
consequences of the statute.
III. Valuation of Claims
A number of commenters suggested
changes in the manner in which the
Fund would determine the appropriate
value of compensable claims.
Methodology for injury claims. One
commenter was troubled that the
Special Master, in determining
economic loss for claimants who
suffered physical harm, may rely upon
the methodology created for
determination of economic loss for
claimants who died. The commenter
noted that in calculating economic loss
for death claims, a deduction is taken
for consumption that would not be
appropriate in calculating losses for
injury claims. The Special Master agrees
with the commenter that it would not be
appropriate to deduct for consumption
in personal injury claims, and notes that
the methodology applied in the first
iteration of the Fund in fact made an
adjustment to eliminate consumption
deductions when computing economic
loss for injury claims. Accordingly, no
change in the rule is necessary.
Future losses. Several comments
focused on the manner in which the
Fund would calculate future losses.
Some noted that the accuracy of
calculations of future economic losses
may depend on the continuation of the
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WTC Health Program. These comments
note that the WTC Health Program is set
to expire in 2016, and that projections
of future medical expenses should be
lower if treatment provided under that
program is extended. In order to ensure
that projections of future economic
losses are as accurate as possible, the
final rule modifies Section 104.47 to
clarify that in calculating offsets from
the World Trade Center Health Program,
the Fund will assume continuing
operations of the Program to the extent
that the Program is authorized to
continue operations at the time of the
payment to the claimant. If the Program
is extended, shortened, or modified
before a claimant’s subsequent
payments, such subsequent payments
may be adjusted to reflect the Program’s
current status.
Other comments focused on the
valuation of replacement services and
noted that replacement services losses
can be substantial and should be
considered. Replacement services loss is
included in the definition of economic
loss in the statute. Under the Fund’s
first iteration, the computation of
economic loss included replacement
services loss where such loss was
demonstrated with appropriate proof. In
addition, under the proposed rule and
the rule that governed the Fund’s first
iteration, Sections 104.43(c) and
104.45(c) specifically provide that
replacement services losses may be
compensated for individuals who did
not have any prior earned income or
who worked only part-time outside the
home. That provision does not exclude
other individuals for whom replacement
services losses may also be appropriate.
As in the Fund’s first iteration, losses
from replacement services may be
variable, and claimants must present
individualized data to support their
inclusion in an award.
Finally, one comment suggested that
the valuation approach proposed in
Section 104.43(a), regarding the
appropriate calculation for future losses
for victims who are minors, should rely
not on the average income of all wage
earners, but on likely educational
attainment based on the child’s
demographics. In the Fund’s first
iteration, minor children’s earning
capacity was based on average income
of all wage earners. Changing the
standard now would result in different
projected earnings between identical
claimants in the two Funds, based
solely on when the claim was filed.
While slight modifications to the
previous valuation models may be
appropriate where the facts underlying
the assumptions have changed, adopting
a new approach to valuation now would
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undermine the consistency that is
important to treating all claimants
equally. Further, given the difficulty of
projecting a child’s future earning
capacity, regardless of the model, a
heavily fact-intensive inquiry for such
projections may add significant
administrative costs with little
additional benefit in accuracy.
Valuation of mental injuries. Some
commenters noted that it is often
difficult to distinguish between the
harms caused by physical injuries and
those caused by mental injuries, with
one commenter suggesting that awards
for non-economic losses should take
into account the losses caused by PTSD.
Under the Zadroga Act, non-economic
losses consist of ‘‘losses for physical and
emotional pain, suffering,
inconvenience, physical impairment,
mental anguish, disfigurement, loss of
enjoyment of life, loss of society and
companionship, loss of consortium
(other than loss of domestic service),
hedonic damages, injury to reputation,
and all other nonpecuniary losses of any
kind or nature.’’ To the extent that an
individual is eligible for compensation
by the Fund, an award for noneconomic losses will reflect these
harms, but no change is required to the
final rule.
Offsets. One comment addressed the
manner in which pensions are used as
offsets, and urged that the regulations
distinguish between retirement
pensions that are earned through years
of service and disability pensions that
are based on an injury caused by
September 11th. Section 104.47(a)
provides that pension funds will be
used to offset payments only to the
extent they are related to the crashes or
debris removal. Standard retirement
pensions will not be used as offsets.
Reliance on determinations by other
bodies. Several commenters suggested
that the Fund should recognize
determinations of eligibility or disability
made by other government agencies,
such as the Department of Veterans
Affairs and Department of Labor,
administrative boards, or in the
September 11th litigation. One
commenter noted that relying on such
determinations would save
administrative costs. Under Section
104.22(c)(2), a claimant may submit any
such information for consideration by
the Fund. As in the first iteration, the
Fund will consider such information in
the context of the full claim.
IV. Funding and Payment of Claims
A number of comments focused on
the amounts available for payment and
the manner in which the regulations
proposed to distribute the available
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funds. For example, several comments
addressed the provisions in the Zadroga
Act regarding the $2.775 billion cap on
total awards that can be paid by the
Fund, as well as the requirement that
only $875 million may be paid during
the first five years of the Fund. One
commenter suggested simply that
additional funding will be needed.
Another argued that claimants should
not have to wait five years to receive full
payment. Because Congress explicitly
provided these requirements in the
statute creating the Fund, these
requirements cannot be changed by the
Special Master.
Another comment focused on the
schedule of payments, and suggested
that instead of evenly dividing the funds
available to make the initial award
payments, the Fund should take into
account the extent of a claimant’s harm
and the immediacy and severity of the
claimant’s need. The Special Master has
given this suggestion considerable
thought, and recognizes that—
particularly given that only one-third of
the overall funding is available during
the Fund’s first five years—initial
payments may make only a small
difference in a claimant’s overall
circumstance. Because initial payments
will be pro-rated, those who have
suffered or will suffer greater harms will
receive larger payments than those with
lesser harms. To that extent, the initial
payments will take into account both
the extent of the claimant’s harm and
the immediacy of the claimant’s need.
However, giving greater awards based
on the immediacy of a particular
claimant’s needs raises numerous
practical challenges, such as the nature
of the urgent needs that would justify a
greater payment: The Zadroga Act
empowered the Special Master to
determine how much a claimant is
entitled to receive for economic losses,
but the Special Master is not in a
position to compare the urgency of each
claimant’s needs and resources.
While the final rule thus does not
contemplate advance benefits for urgent
needs, it does incorporate a change that
may ease some of this burden. One
comment noted that over the Fund’s
first five years, it may become apparent
that it would be possible to provide
claimants with more than one payment
without expending all the available
funds. The proposed rule contemplated
just two rounds of payments to each
claimant: An initial payment within the
first five years, followed by the
remaining payment in the sixth year. If
it becomes apparent that sufficient
funding is available for additional
payments before the sixth year, the final
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rule gives the Special Master discretion
to make such additional payment.
Finally, some commenters asked that
the Fund inform claimants of the Fund’s
full valuation of their award at the time
the award decision is made, even
though the first payment will only be a
pro-rated portion of that total. Under
Section 104.33(g), the Special Master
will notify the claimant in writing of the
final amount of the award. The Special
Master intends for this notice to inform
the claimant of the Fund’s full award
determination and the pro-rated amount
of the initial payment. In addition,
claimants will be informed that they
will receive a subsequent payment
during the Fund’s sixth year, but that
the amount of this payment is not
certain, and may be reduced pursuant to
Section § 104.51 (requiring the Special
Master to ratably reduce the amount of
compensation in the event that the total
amount of all claims exceeds the
amount available under law) and
Section 104.47 (authorizing the Special
Master to recalculate offsets from the
World Trade Center Health Program and
adjust subsequent payments
accordingly).
V. Fees and Expenses
A number of comments sought clarity
or modifications in the provisions of the
proposed rule regarding the amounts
that a representative of a claimant may
charge in connection with a claim made
to the Fund.
10% cap on fees. Some comments
sought clarity on the provisions
implementing the Zadroga Act’s 10%
cap on fees that representatives may
charge a client in connection with a
claim to the Fund. Specifically, one set
of these comments expressed concern
that the regulations did not provide
sufficient guidance on the types of fees
and charges that would come within the
cap on amounts that a claimant’s
representative may charge in connection
with a claim made to the Fund. While
it is recognized that there may be cases
in which an attorney provides some
unusual service, and there is no
indication in the statute that Congress
intended to disadvantage claimants by
discouraging those attorneys from
providing beneficial services, the
Zadroga Act does reflect an intention to
limit the amounts that may be charged
for routine legal services. Accordingly,
the final rule clarifies that the caps on
amounts that an attorney may charge
include charges for expenses routinely
incurred in the course of providing legal
services. Thus, for example, absent
special circumstances, routine office
photocopying costs, as well as fees
charged by expert consultants or
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witnesses, that are routinely incurred in
the course of providing legal services,
count against the caps on fees that
attorneys may charge. By the same
token, where an attorney provides a
non-routine service, which depending
on the circumstances may include
acquiring a client’s files from a third
party (rather than requiring the claimant
to collect those files), the attorney may
be able to pass along those costs on top
of the routine fees. Thus, the final rule
notes that charges for services routinely
incurred in the course of providing legal
services fall within the cap on fees, and
provides that attorneys or other
representatives may seek the Fund’s
approval to charge for non-routine
services in particular cases.
Records costs. Along similar lines,
there were a number of comments
regarding the costs of obtaining
voluminous medical files that are often
in the possession of a claimant’s
medical provider or previous counsel.
Some comments suggested that the
Fund establish a retrieval service or
limit the fees that custodians of those
records may charge claimants or their
new attorneys for providing documents
that a claimant must provide to the
Fund. Others noted that the custodian’s
costs of producing such records can be
significant, too, and that current
custodians should be permitted to pass
on reasonable costs.
At the outset, it is worth noting that
the Fund intends to work with willing
custodians who possess large volumes
of relevant records to determine the
extent to which it is possible to transfer
appropriate information to the Fund
electronically. Providing the electronic
transfer of information where
appropriate and cost-effective will
reduce burdens and costs for claimants.
Further, while the Zadroga Act does
not grant the Fund the authority to
establish caps on costs that a third-party
custodian not before the Fund may
charge for providing records, it does
empower the Special Master to ensure
that counsel who represent claimants
before the Fund are charging
appropriate rates. The Special Master
recognizes the role that able counsel
will serve in the claims process, and
notes that in the Fund’s first iteration,
there was an outpouring of pro bono
assistance that was consistent with the
spirit of the legislation and the Bar’s
tradition of public service. While the
Zadroga Act does not prevent a
claimant’s previous counsel from
passing along certain minimal
administrative costs associated with the
transfer of files, attorneys have
professional obligations regarding a
client’s access to his or her records. The
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Zadroga Act empowers the Special
Master to reduce the fees that an
attorney may charge claimants, and
attorneys who charge unreasonable
costs for the services provided should
expect that, in appropriate cases, the
Fund will exercise its statutory
authority to limit the fees charged.
Effects of fees charged in a previous
settlement. One comment focused on
the question of whether certain
attorneys may charge fees in connection
with a claim filed with the Fund.
Specifically, the commenter expressed
concern regarding Section 104.81 of the
proposed rule, which implements the
Zadroga Act’s statutory cap on fees that
an attorney who charged a fee in
connection with a prior September 11threlated settlement may charge in
connection with a claim submitted to
the Fund. Under the Zadroga Act, such
an attorney may charge a fee in
connection with the claim to the Fund
only if the legal fee charged in
connection with the settlement ‘‘is less
than 10 percent of the aggregate amount
of compensation awarded to such
individual through such settlement’’; in
such instances, the attorney may receive
only such funds as are necessary to
reach a total payment that equals 10
percent of the aggregate compensation
from the settlement. The commenter
expressed concern that Section 104.81
of the proposed regulation interprets
this provision in a manner that is
inequitable to attorneys who previously
represented clients in a settlement, and
argued that the cap on fees should be
based on the aggregate of the civil
settlement and recoveries under the
Fund. The statute refers to ‘‘the
aggregate amount of compensation
awarded to such individual through
such settlement’’ (emphasis added), and
therefore does not permit such a
reading.
Along similar lines, the commenter
suggested that Section 104.81(b)(1) of
the proposed rule be clarified to give
guidance on whether an attorney who
previously charged a fee in connection
with a previous settlement may charge
a client’s new counsel a ‘‘consultation
or participation fee’’ in connection with
the client’s claim to the Fund. The
commenter suggests that such
consultation or participation fee would
allow the former attorney to provide
time and resources to assist the new
counsel. The statutory provision in
question provides that ‘‘the
representative of the individual may not
charge any amount for compensation for
services rendered in connection with a
claim filed under this title.’’ The
proposed regulatory provision on which
the commenter sought clarification had
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stated that such attorney may not charge
‘‘that individual’’ any such amount; the
commenter suggests that because a
consultation fee would not increase the
overall charge to the claimant herself,
but would be charged only to the
claimant’s new counsel, a consultation
or participation fee achieves the
statutory objectives. The Special Master
disagrees, and the final rule clarifies
that provision. Because Congress
dictated that the representative ‘‘may
not charge any amount for
compensation for services rendered in
connection with a claim,’’ it would
defeat Congress’s intention were that
representative permitted to charge an
amount for services rendered.
Accordingly, Section 104.81(b)(1) is
clarified in the final rule to track, with
one exception, the statutory language.
Because it does not appear that Congress
intended to forbid such a representative
from charging for services rendered in
connection with claims filed by other
clients, whom the representative did not
charge any amount in a previous
settlement, Section 104.81(b)(1) is
clarified to provide that ‘‘the
representative who charged such legal
fee may not charge any amount for
compensation for services rendered in
connection with a claim filed by or on
behalf of that individual under this
title’’ (emphasis added).
VI. Other Comments
The Fund received a number of
additional comments that, while not
requiring changes to the regulations,
raise important issues for the
administration of the Fund. As the
Special Master has indicated previously,
her goal is to design a program that is
fair, transparent, and easy to navigate.
The many suggestions along these lines
will be extremely valuable as the Fund
gets up and running.
Comments stressed the importance of
making the claims process as accessible
to the public as possible, a goal that the
Special Master shares. Commenters
suggested several ways that the Fund
can make this goal a reality. They
stressed the value of transparency, so
that claimants can make informed
decisions and understand the reasons
for how their claims are handled. The
Special Master agrees that making
public as much information as possible
concerning the Fund’s valuation
methodologies will assist claimants in
deciding whether to file with the Fund
or pursue other forms of relief. The
Fund will provide information outside
the context of formal regulations, such
as through Frequently Asked Questions,
periodic reports, explanations of
decisions to individual claimants, and
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other materials on the Fund’s Web site,
in order to give claimants greater
confidence in the Fund’s decisionmaking processes.
Making the Fund accessible to the
public also requires that the process be
as simple and non-bureaucratic as
possible. Although claimants should be
able to use an attorney if they so choose,
the process should be simple enough
that claimants can participate without
the need for one—and the Special
Master should encourage attorneys to
provide pro bono assistance. Given the
diversity of the eligible population,
commenters also urged the Fund to
translate key forms and other materials
into languages other than English. The
Special Master agrees with these
commenters and will take steps to make
the Fund more accessible in these ways.
In addition to creating a process that
is transparent, commenters also urged
the Special Master to recognize that
between private litigation and various
governmental programs operating in this
space, a lack of consistency can lead to
confusion, frustration, and increased
burdens on claimants who have already
suffered extensively. Commenters noted
that this can play out in a variety of
contexts: Different sets of forms and
proof requirements; different types of
harms and valuation methodologies;
and inconsistent determinations
between government programs
ostensibly aimed at the same
populations. While the Fund has certain
unique statutory purposes, the Special
Master recognizes that unnecessary
inconsistency and redundancy are in no
one’s interests. So while some
differences are inevitable, coordination
with other government programs will be
an important consideration in the
Fund’s operations. Importantly, as part
of the Fund’s efforts to minimize
burdens on claimants, it will work with
medical providers and others in
possession of claimants’ information to
provide for appropriate transfers of
electronic data where possible.
The Special Master appreciates all of
these comments, as well as the many
comments expressing appreciation or
good wishes for the Fund’s operations.
While the suggestions here do not
require changes in the regulations, they
suggest a number of ways that the Fund
can better achieve its mission. They will
all be taken into account as we seek to
build a program that serves this
community as the Zadroga Act
intended.
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Federal Register / Vol. 76, No. 169 / Wednesday, August 31, 2011 / Rules and Regulations
Regulatory Certifications
Paperwork Reduction Act of 1995
This rule implements Title II of the
Zadroga Act, which reactivates the
September 11th Victim Compensation
Fund of 2001. In order to be able to
evaluate claims and provide
compensation, the Fund will need to
collect information from an individual
(or a personal representatives of a
deceased individual) who suffered
physical harm or was killed as a result
of the terrorist-related aircraft crashes of
September 11, 2001 or the debris
removal efforts that took place in the
immediate aftermath of those crashes.
Accordingly, the Department of Justice
(DOJ), Civil Division will submit an
information collection request to the
Office of Management and Budget
(OMB) for review and clearance in
accordance with the emergency review
procedures of the Paperwork Reduction
Act of 1995. The Department will also
publish a Notice in the Federal Register
soliciting public comment on the
information collection associated with
this rulemaking.
Regulatory Flexibility Act
These regulations set forth procedures
by which the Federal government will
award compensation benefits to eligible
victims of the September 11, 2001
terrorist attacks. Under 5 U.S.C. 601(6),
the term ‘‘small entity’’ does not include
the Federal government, the party
charged with incurring the costs
attendant to the implementation and
administration of the Victims
Compensation Fund. Accordingly, the
Department has reviewed this rule in
accordance with the Regulatory
Flexibility Act (5 U.S.C. 605(b)) and by
approving it certifies that this rule will
not have a significant economic impact
on a substantial number of small entities
because it provides compensation to
eligible individuals who were
physically injured as a result of the
terrorist-related aircraft crashes of
September 11, 2001, and compensation
through a ‘‘personal representative’’ for
those who were killed as a result of
those crashes. This rule provides
compensation to individuals, not to
entities.
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Executive Orders 12866 and 13563—
Regulatory Review
This regulation has been drafted and
reviewed in accordance with Executive
Order 12866, ‘‘Regulatory Planning and
Review’’ section 1(b), Principles of
Regulation and in accordance with
Executive Order 13563 ‘‘Improving
Regulation and Regulatory Review’’
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section 1(b) General Principles of
Regulation.
The Department of Justice has
determined that this rule is an
‘‘economically significant regulatory
action’’ under Executive Order 12866,
section 3(f), Regulatory Planning and
Review, and accordingly this rule has
been reviewed by the Office of
Management and Budget.
Further, both Executive Orders 12866
and 13563 direct agencies to assess all
costs and benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, distributive impacts, and
equity). Executive Order 13563
emphasizes the importance of
quantifying both costs and benefits, of
reducing costs, of harmonizing rules,
and of promoting flexibility. The
Department has assessed the costs and
benefits of this regulation and believes
that the regulatory approach selected
maximizes net benefits.
Assessment of Benefits, Costs, and
Alternatives.
As required by Executive Order 13563
and Executive Order 12866 for
economically significant regulatory
actions, the Department has assessed the
benefits and costs anticipated from this
rulemaking and considered whether
there are reasonably feasible alternatives
to this rulemaking, including
considering whether there are
reasonably viable non-regulatory actions
that could be taken in lieu of this
rulemaking. The purpose of this
rulemaking is to provide the legal and
administrative framework necessary to
provide compensation to any individual
(or a personal representative of a
deceased individual) who suffered
physical harm or was killed as a result
of the terrorist-related aircraft crashes of
September 11, 2001 or the debris
removal efforts that took place in the
immediate aftermath of those crashes, as
provided by Title II of the Zadroga Act.
The primary benefits and costs of this
rulemaking are both set by statute as
Congress has appropriated a capped
amount—$2.775 billion payable over a
period of years—for this program.
Because the $2.775 billion appropriated
by Congress for the Fund must pay for
claimant awards as well as the Fund’s
administrative expenses, it is important
for the Fund to establish procedures to
screen out ineligible or inappropriate
claims while keeping administrative
expenses as low as possible consistent
with the goal of ensuring that funds are
not diverted to processing ineligible
claims in order to maximize the amount
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54119
of funds available for claimants. Finally,
based on past practice with the
operation of the original Fund and the
necessity to establish the legal and
administrative framework for the
reopened Fund, the Department
concludes that there are no viable nonregulatory actions that it could take to
implement the Zadroga Act in a fair and
efficient manner.
Executive Order 13132—Federalism
This regulation will not have
substantial direct effects on the States,
on the relationship between the national
government and the States, or on
distribution of power and
responsibilities among the various
levels of government. Therefore, in
accordance with Executive Order 13132,
it is determined that this rule does not
have sufficient federalism implications
to warrant the preparation of a
Federalism Assessment. However, the
Department of Justice has worked
cooperatively with state and local
officials in the affected communities in
the preparation of this rule. Also, the
Department individually notified
national associations representing
elected officials regarding this
rulemaking.
Executive Order 12988—Civil Justice
Reform
This regulation meets the applicable
standards set forth in sections 3(a) and
3(b)(2) of Executive Order 12988.
Unfunded Mandates Reform Act of 1995
This rule will not result in the
expenditure by State, local and tribal
governments, in the aggregate, or by the
private sector, of $100,000,000 or more
in any one year, and it will not
significantly or uniquely affect small
governments. Therefore, no actions were
deemed necessary under the provisions
of the Unfunded Mandates Reform Act
of 1995.
Small Business Regulatory Enforcement
Fairness Act of 1996
This rule is not a major rule as
defined by section 804 of the Small
Business Regulatory Enforcement
Fairness Act of 1996. This rule will not
result in an annual effect on the
economy of $100,000,000 or more; a
major increase in costs or prices; or
significant adverse effects on
competition, employment, investment,
productivity, innovation, or on the
ability of United States-based
companies to compete with foreignbased companies in domestic and
export markets.
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List of Subjects in 28 CFR Part 104
Subpart A—General; Eligibility
Disaster assistance, Disability
benefits, Terrorism.
§ 104.1
Purpose.
Subpart B—Filing for Compensation
This part implements the provisions
of the September 11th Victim
Compensation Fund of 2001, Title IV of
Public Law 107–42, 115 Stat. 230 (Air
Transportation Safety and System
Stabilization Act), as amended by the
James Zadroga 9/11 Health and
Compensation Act of 2010, Title II of
Public Law 111–347, to provide
compensation to eligible individuals
who were physically injured as a result
of the terrorist-related aircraft crashes of
September 11, 2001, or debris removal
during the immediate aftermath of those
crashes, and to the ‘‘personal
representatives’’ of those who were
killed as a result of the crashes. All
compensation provided through the
Fund will be on account of personal
physical injuries or death.
104.21
104.22
§ 104.2 Eligibility definitions and
requirements.
Accordingly, for the reasons set forth
in the preamble, Part 104 of chapter I of
Title 28 of the Code of Federal
Regulations is amended by revising part
104 to read as follows:
PART 104—SEPTEMBER 11TH VICTIM
COMPENSATION FUND
Subpart A—General; Eligibility
Sec.
104.1 Purpose.
104.2 Eligibility definitions and
requirements.
104.3 Other definitions.
104.4 Personal Representative.
104.5 Foreign claims.
104.6 Amendments to this part.
Presumptively covered conditions.
Filing for compensation.
Subpart C—Claim Intake, Assistance, and
Review Procedures
104.31 Procedure for claims evaluation.
104.32 Eligibility review.
104.33 Hearing.
104.34 Publication of awards.
104.35 Claims deemed abandoned by
claimants.
Subpart D—Amount of Compensation for
Eligible Claimants
104.41 Amount of compensation.
104.42 Applicable state law.
104.43 Determination of presumed
economic loss for decedents.
104.44 Determination of presumed
noneconomic losses for decedents.
104.45 Determination of presumed
economic loss for claimants who
suffered physical harm.
104.46 Determination of presumed
noneconomic losses for claimants who
suffered physical harm.
104.47 Collateral sources.
Subpart E—Payment of Claims
104.51 Payments to eligible individuals.
104.52 Distribution of award to decedent’s
beneficiaries.
Subpart F—Limitations
104.61
104.62
104.63
Limitation on civil actions.
Time limit on filing claims.
Subrogation.
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Subpart G—Measures To Protect the
Integrity of the Compensation Program
104.71 Procedures to prevent and detect
fraud.
Subpart H—Attorney Fees
104.81
Limitation on attorney fees.
Authority: Title IV of Pub. L. 107–42, 115
Stat. 230, 49 U.S.C. 40101 note; Title II of
Pub. L. 111–347, 124 Stat. 3623.
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(a) Eligible claimants. The term
eligible claimants means:
(1) Individuals present at a 9/11 crash
site at the time of or in the immediate
aftermath of the terrorist-related aircraft
crashes and who suffered physical
harm, as defined herein, as a direct
result of the crashes or debris removal;
(2) The Personal Representatives of
deceased individuals aboard American
Airlines flights 11 or 77 and United
Airlines flights 93 or 175; and
(3) The Personal Representatives of
individuals who were present at a 9/11
crash site at the time of or in the
immediate aftermath of the crashes and
who died as a direct result of the
terrorist-related aircraft crash.
(4) The term eligible claimants does
not include any individual or
representative of an individual who is
identified to have been a participant or
conspirator in the terrorist-related
crashes of September 11.
(b) Immediate aftermath. The term
immediate aftermath means any period
beginning with the terrorist-related
aircraft crashes of September 11, 2001,
and ending on May 30, 2002.
(c) Physical harm. (1) The term
physical harm shall mean a physical
injury to the body that was treated by
a medical professional within a
reasonable time from the date of
discovering such harm; and
(2) The physical injury must be
verified by medical records created by
or at the direction of the medical
professional who provided the medical
care contemporaneously with the care.
(d) Personal Representative. The term
Personal Representative shall mean the
person determined to be the Personal
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Representative under § 104.4 of this
part.
(e) WTC Health Program. The term
WTC Health Program means the World
Trade Center Health Program
established by Title I of Public Law
111–347 (codified at Title XXXIII of the
Public Health Service Act, 42 U.S.C.
300mm through 300mm–61).
(f) WTC-related health condition. The
term WTC-related health condition
means those health conditions
identified as WTC-related by Title I of
Public Law 111–347 and by regulations
implementing that Title.
(g) 9/11 crash site. The term 9/11
crash site means:
(1) The World Trade Center site,
Pentagon site, and Shanksville,
Pennsylvania site; or
(2) The buildings or portions of
buildings that were destroyed as a result
of the terrorist-related airplane crashes
of September 11, 2001; or
(3) The area in Manhattan south of the
line that runs along Canal Street from
the Hudson River to the intersection of
Canal Street and East Broadway, north
on East Broadway to Clinton Street, and
east on Clinton Street to the East River;
or
(4) Any other area contiguous to the
crash sites that the Special Master
determines was sufficiently close to the
site that there was a demonstrable risk
of physical harm resulting from the
impact of the aircraft or any subsequent
fire, explosions, or building collapses
(including the immediate area in which
the impact occurred, fire occurred,
portions of buildings fell, or debris fell
upon and injured individuals); or
(5) Any area related to, or along,
routes of debris removal, such as barges
and Fresh Kills.
§ 104.3
Other definitions.
(a) Beneficiary. The term beneficiary
shall mean a person to whom the
Personal Representative shall distribute
all or part of the award under § 104.52
of this part.
(b) Dependents. The Special Master
shall identify as dependents those
persons so identified by the victim on
his or her Federal tax return for the year
prior to the year of the victim’s death (or
those persons who legally could have
been identified by the victim on his or
her Federal tax return for the year prior
to the year of the victim’s death) unless:
(1) The claimant demonstrates that a
minor child of the victim was born or
adopted on or after January 1 of the year
of the victim’s death;
(2) Another person became a
dependent in accordance with thenapplicable law on or after January 1 of
the year of the victim’s death; or
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(3) The victim was not required by
law to file a Federal income tax return
for the year prior to the year of the
victim’s death.
(c) Spouse. The Special Master shall
identify as the spouse of a victim the
person reported as spouse on the
victim’s Federal tax return for the year
prior to the year of the victim’s death (or
the person who legally could have been
identified by the victim on his or her
Federal tax return for the year prior to
the year of the victim’s death) unless:
(1) The victim was married or
divorced in accordance with applicable
state law on or after January 1 of the
year of the victim’s death; or
(2) The victim was not required by
law to file a Federal income tax return
for the year prior to the year of the
victim’s death.
(d) The Act. The Act, as used in this
part, shall mean Public Law 107–42, 115
Stat. 230 (‘‘Air Transportation Safety
and System Stabilization Act’’), 49
U.S.C. 40101 note, as amended by the
James Zadroga 9/11 Health and
Compensation Act of 2010, Title II of
Public Law 111–347.
(e) Victim. The term victim shall
mean an eligible injured claimant or a
decedent on whose behalf a claim is
brought by an eligible Personal
Representative.
(f) Substantially Complete. A claim
becomes substantially complete when,
in the opinion of the Special Master or
her designee, the claim contains
sufficient information and
documentation to determine both the
claimant’s eligibility and, if the claimant
is eligible, an appropriate award.
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§ 104.4
Personal Representative.
(a) In general. The Personal
Representative shall be:
(1) An individual appointed by a
court of competent jurisdiction as the
Personal Representative of the decedent
or as the executor or administrator of
the decedent’s will or estate.
(2) In the event that no Personal
Representative or executor or
administrator has been appointed by
any court of competent jurisdiction, and
such issue is not the subject of pending
litigation or other dispute, the Special
Master may, in her discretion,
determine that the Personal
Representative for purposes of
compensation by the Fund is the person
named by the decedent in the
decedent’s will as the executor or
administrator of the decedent’s estate. In
the event no will exists, the Special
Master may, in her discretion,
determine that the Personal
Representative for purposes of
compensation by the Fund is the first
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person in the line of succession
established by the laws of the
decedent’s domicile governing
intestacy.
(b) Notice to beneficiaries. (1) Any
purported Personal Representative
must, before filing an Eligibility Form,
provide written notice of the claim
(including a designated portion of the
Eligibility Form) to the immediate
family of the decedent (including, but
not limited to, the decedent’s spouse,
former spouses, children, other
dependents, and parents), to the
executor, administrator, and
beneficiaries of the decedent’s will, and
to any other persons who may
reasonably be expected to assert an
interest in an award or to have a cause
of action to recover damages relating to
the wrongful death of the decedent.
(2) Personal delivery or transmission
by certified mail, return receipt
requested, shall be deemed sufficient
notice under this provision. The claim
forms shall require that the purported
Personal Representative certify that
such notice (or other notice that the
Special Master deems appropriate) has
been given. In addition, as provided in
§ 104.21(b)(5) of this part, the Special
Master may publish a list of individuals
who have filed Eligibility Forms and the
names of the victims for whom
compensation is sought, but shall not
publish the content of any such form.
(c) Objections to Personal
Representatives. Objections to the
authority of an individual to file as the
Personal Representative of a decedent
may be filed with the Special Master by
parties who assert a financial interest in
the award up to 30 days following the
filing by the Personal Representative. If
timely filed, such objections shall be
treated as evidence of a ‘‘dispute’’
pursuant to paragraph (d) of this
section.
(d) Disputes as to identity. The
Special Master shall not be required to
arbitrate, litigate, or otherwise resolve
any dispute as to the identity of the
Personal Representative. In the event of
a dispute over the appropriate Personal
Representative, the Special Master may
suspend adjudication of the claim or, if
sufficient information is provided,
calculate the appropriate award and
authorize payment, but place in escrow
any payment until the dispute is
resolved either by agreement of the
disputing parties or by a court of
competent jurisdiction. Alternatively,
the disputing parties may agree in
writing to the identity of a Personal
Representative to act on their behalf,
who may seek and accept payment from
the Fund while the disputing parties
work to settle their dispute.
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§ 104.5
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Foreign claims.
In the case of claims brought by or on
behalf of foreign citizens, the Special
Master may alter the requirements for
documentation set forth herein to the
extent such materials are unavailable to
such foreign claimants.
§ 104.6
Amendments to this part.
Claimants are entitled to have their
claims processed in accordance with the
provisions of this Part that were in effect
at the time that their claims were
submitted under § 104.22(d). All claims
will be processed in accordance with
the current provisions of this Part,
unless the claimant has notified the
Special Master that he or she has elected
to have the claim resolved under the
regulations that were in effect at the
time that the claim was submitted under
§ 104.22(d).
Subpart B—Filing for Compensation
§ 104.21 Presumptively covered
conditions.
(a) In general. The Special Master
shall maintain and publish on the
Fund’s Web site a list of presumptively
covered conditions that resulted from
the terrorist-related air crashes of
September 11, 2001, or debris removal.
The list shall consist of physical injuries
that are determined to be WTC-related
health conditions by the WTC Health
Program.
(b) Updates. The Special Master shall
update the list of presumptively covered
conditions as the list of WTC-related
health conditions by the WTC Health
Program is updated. Claims may then be
amended pursuant to § 104.22(e)(ii).
(c) Conditions other than
presumptively covered conditions. A
claimant may also be eligible for
payment under § 104.51 where the
claimant—
(1) Presents extraordinary
circumstances not adequately addressed
by the list of presumptively covered
conditions; and
(2) Is otherwise eligible for payment.
§ 104.22
Filing for compensation.
(a) Compensation form; ‘‘filing.’’ A
claim shall be deemed ‘‘filed’’ for
purposes of section 405(b)(3) of the Act
(providing that the Special Master shall
issue a determination regarding the
matters that were the subject of the
claim not later than 120 calendar days
after the date on which a claim is filed),
and for any time periods in this part,
when it is substantially complete.
(b) Eligibility Form. The Special
Master shall develop an Eligibility
Form, which may be a portion of a
complete claim form, that will require
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the claimant to provide information
necessary for determining the claimant’s
eligibility to recover from the Fund.
(1) The Eligibility Form may require
that the claimant certify that he or she
has dismissed any pending lawsuit
seeking damages as a result of the
terrorist-related airplane crashes of
September 11, 2001, or for damages
arising from or related to debris removal
(except for actions seeking collateral
source benefits) within 90 days of the
effective date of this part pursuant to
section 405(c)(3)(C)(ii) of the Act and
that there is no pending lawsuit brought
by a dependent, spouse, or beneficiary
of the victim.
(2) The Special Master may require as
part of the notice requirement pursuant
to § 104.4(b) that the claimant provide
copies of a designated portion of the
Eligibility Form to the immediate family
of the decedent (including, but not
limited to, the spouse, former spouses,
children, other dependents, and
parents), to the executor, administrator,
and beneficiaries of the decedent’s will,
and to any other persons who may
reasonably be expected to assert an
interest in an award or to have a cause
of action to recover damages relating to
the wrongful death of the decedent.
(3) The Eligibility Form may require
claimants to provide the following
proof:
(i) Proof of death: Death certificate or
similar official documentation;
(ii) Proof of presence at site:
Documentation sufficient to establish
presence at a 9/11 crash site, which may
include, without limitation, a death
certificate, proof of residence, such as a
lease or utility bill, records of
employment or school attendance,
contemporaneous medical records,
contemporaneous records of federal,
state, city or local government, a pay
stub, official personnel roster, site
credentials, an affidavit or declaration of
the decedent’s or injured claimant’s
employer, or other sworn statement (or
unsworn statement complying with 28
U.S.C. 1746) regarding the presence of
the victim;
(iii) Proof of physical harm:
Certification of a conclusion by the
WTC Health Program that the claimant
suffers from a WTC-related health
condition and is eligible for treatment
under the program; or a health form
provided by the Fund and completed by
a licensed medical professional.
(iv) Personal Representative: Copies of
relevant legal documentation, including
court orders; letters testamentary or
similar documentation; proof of the
purported Personal Representative’s
relationship to the decedent; copies of
wills, trusts, or other testamentary
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documents; and information regarding
other possible beneficiaries as requested
by the Eligibility Form;
(v) Any other information that the
Special Master deems necessary to
determine the claimant’s eligibility.
(4) The Special Master may also
require waivers, consents, or
authorizations from claimants to obtain
directly from third parties tax returns,
medical information, employment
information, or other information that
the Special Master deems relevant in
determining the claimant’s eligibility or
award, and may request an opportunity
to review originals of documents
submitted in connection with the Fund.
(5) The Special Master may publish a
list of individuals who have filed
Eligibility Forms and the names of the
victims for whom compensation is
sought, but shall not publish the content
of any such form.
(c) Personal Injury Compensation
Form and Death Compensation Form.
The Special Master shall develop a
Personal Injury Compensation Form that
each injured claimant must submit. The
Special Master shall also develop a
Death Compensation Form that each
Personal Representative must submit.
These forms shall require the claimant
to provide certain information that the
Special Master deems necessary to
determining the amount of any award,
including information concerning
income, collateral sources, benefits,
settlements and attorneys’ fees relating
to civil actions described in section
405(c)(3)(C)(iii) of the Act, and other
financial information, and shall require
the claimant to state the factual basis for
the amount of compensation sought. It
shall also allow the claimant to submit
certain other information that may be
relevant, but not necessary, to the
determination of the amount of any
award.
(1) Claimants shall, at a minimum,
submit all tax returns that were filed for
the period beginning three years prior to
the year of death or discovery of the
injury and ending with the year the
claim was filed or the year of death. The
Special Master may, at the Special
Master’s discretion, require that
claimants submit copies of tax returns
or other records for any other period of
years the Special Master deems
appropriate for determination of an
award. The Special Master may also
require waivers, consents, or
authorizations from claimants to obtain
directly from third parties medical
information, employment information,
or other information that the Special
Master deems relevant to determining
the amount of any award.
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(2) Claimants may attach to the
‘‘Personal Injury Compensation Form’’
or ‘‘Death Compensation Form’’ any
additional statements, documents or
analyses by physicians, experts,
advisors, or any other person or entity
that the claimant believes may be
relevant to a determination of
compensation.
(d) Submission of a claim. Section
405(c)(3)(C) of the Act provides that
upon the submission of a claim under
the Fund, the claimant waives the right
to file a civil action (or to be a party to
an action) in any Federal or State court
for damages sustained as a result of the
terrorist-related aircraft crashes of
September 11, 2001, or debris removal,
except for civil actions to recover
collateral source obligations and civil
actions against any person who is a
knowing participant in any conspiracy
to hijack any aircraft or commit any
terrorist act. A claim shall be deemed
submitted for purposes of section
405(c)(3)(C) of the Act when the claim
is deemed filed pursuant to § 104.22,
regardless of whether any time limits
are stayed or tolled.
(e) Amendment of claims. A claimant
who has previously submitted a claim
may amend such claim to include:
(1) An injury that the claimant had
not suffered (or did not reasonably
know the claimant suffered) at the time
the claimant filed the previous claim;
(2) A condition that the Special
Master has identified and published in
accordance with 104.21(a), since the
time the claimant filed the previous
claim, as a presumptively covered
condition;
(3) An injury for which the claimant
was previously compensated by the
Fund, but only if that injury has
substantially worsened, resulting in
damages or loss that was not previously
compensated; and
(4) Claims for which the individual is
an eligible claimant as a result of
amendments contained in the James
Zadroga 9/11 Health and Compensation
Act of 2010, Title II of Public Law 111–
347.
(f) Provisions of information by third
parties. Any third party having an
interest in a claim brought by a Personal
Representative may provide written
statements or information regarding the
Personal Representative’s claim. The
Claims Evaluator or the Special Master
or the Special Master’s designee may, at
his or her discretion, include the written
statements or information as part of the
claim.
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Subpart C—Claim Intake, Assistance,
and Review Procedures
§ 104.31
Procedure for claims evaluation.
(a) Initial review. Claims Evaluators
shall review the forms filed by the
claimant and either deem the claim
‘‘filed’’ (pursuant to § 104.22(a)) or
notify the claimant of any deficiency in
the forms or any required documents.
(b) Procedure. The Claims Evaluator
shall determine eligibility and the
claimant’s presumed award pursuant to
§§ 104.43 to 104.46 of this part and,
within 75 days of the date the claim was
deemed filed, notify the claimant in
writing of the eligibility determination,
the amount of the presumed award, and
the right to request a hearing before the
Special Master or her designee under
§ 104.33 of this part. After an eligible
claimant has been notified of the
presumed award, within 30 days the
claimant may either accept the
presumed compensation determination
as the final determination and request
payment, or may instead request a
review before the Special Master or her
designee pursuant to § 104.33.
Claimants found to be ineligible may
appeal pursuant to § 104.32.
(c) Multiple claims from the same
family. The Special Master may treat
claims brought by or on behalf of two
or more members of the same immediate
family as related or consolidated claims
for purposes of determining the amount
of any award.
§ 104.32
Eligibility review.
Any claimant deemed ineligible by
the Claims Evaluator may appeal that
decision to the Special Master or her
designee by filing an eligibility appeal
within 30 days on forms created by the
office of the Special Master.
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§ 104.33
Hearing.
(a) Supplemental submissions. The
claimant may prepare and file
Supplemental Submissions within 21
calendar days from notification of the
presumed award. The Special Master
shall develop forms appropriate for
Supplemental Submissions.
(b) Conduct of hearings. Hearings
shall be before the Special Master or her
designee. The objective of hearings shall
be to permit the claimant to present
information or evidence that the
claimant believes is necessary to a full
understanding of the claim. The
claimant may request that the Special
Master or her designee review any
evidence relevant to the determination
of the award, including without
limitation: The nature and extent of the
claimant’s injury; evidence of the
claimant’s presence at a 9/11 crash site;
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factors and variables used in calculating
economic loss; the identity of the
victim’s spouse and dependents; the
financial needs of the claimant; facts
affecting noneconomic loss; and any
factual or legal arguments that the
claimant contends should affect the
award. Claimants shall be entitled to
submit any statements or reports in
writing. The Special Master or her
designee may require authentication of
documents, including medical records
and reports, and may request and
consider information regarding the
financial resources and expenses of the
victim’s family or other material that the
Special Master or her designee deems
relevant.
(c) Location and duration of hearings.
The hearings shall, to the extent
practicable, be scheduled at times and
in locations convenient to the claimant
or his or her representative. The
hearings shall be limited in length to a
time period determined by the Special
Master or her designee.
(d) Witnesses, counsel, and experts.
Claimants shall be permitted, but not
required, to present witnesses,
including expert witnesses. The Special
Master or her designee shall be
permitted to question witnesses and
examine the credentials of experts. The
claimant shall be entitled to be
represented by an attorney in good
standing, but it is not necessary that the
claimant be represented by an attorney.
All testimony shall be taken under oath.
(e) Waivers. The Special Master shall
have authority and discretion to require
any waivers necessary to obtain more
individualized information on specific
claimants.
(f) Award Appeals. For award
appeals, the Special Master or her
designee shall make a determination
whether:
(1) There was an error in determining
the presumptive award, either because
the claimant’s individual criteria were
misapplied or for another reason; or
(2) The claimant presents
extraordinary circumstances not
adequately addressed by the
presumptive award.
(g) Determination. The Special Master
shall notify the claimant in writing of
the final amount of the award, but need
not create or provide any written record
of the deliberations that resulted in that
determination. There shall be no further
review or appeal of the Special Master’s
determination. In notifying the claimant
of the final amount of the award, the
Special Master may designate the
portions or percentages of the final
award that are attributable to economic
loss and non-economic loss,
respectively, and may provide such
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54123
other information as appropriate to
provide adequate guidance for a court of
competent jurisdiction and a personal
representative.
§ 104.34
Publication of awards.
The Special Master reserves the right
to publicize the amounts of some or all
of the awards, but shall not publish the
name of the claimants or victims that
received each award. If published, these
decisions would be intended by the
Special Master as general guides for
potential claimants and should not be
viewed as precedent binding on the
Special Master or her staff.
§ 104.35 Claims deemed abandoned by
claimants.
The Special Master and her staff will
endeavor to evaluate promptly any
information submitted by claimants.
Nonetheless, it is the responsibility of
the claimant to keep the Special Master
informed of his or her current address
and to respond within the duration of
this five-year program to requests for
additional information. Claims
outstanding at the end of this program
because of a claimant’s failure to
complete his or her filings shall be
deemed abandoned.
Subpart D—Amount of Compensation
for Eligible Claimants
§ 104.41
Amount of compensation.
As provided in section 405(b)(1)(B)(ii)
of the Act, in determining the amount
of compensation to which a claimant is
entitled, the Special Master shall take
into consideration the harm to the
claimant, the facts of the claim, and the
individual circumstances of the
claimant. The individual circumstances
of the claimant may include the
financial needs or financial resources of
the claimant or the victim’s dependents
and beneficiaries. As provided in
section 405(b)(6) of the Act, the Special
Master shall reduce the amount of
compensation by the amount of
collateral source compensation the
claimant (or, in the case of a Personal
Representative, the victim’s
beneficiaries) has received or is entitled
to receive as a result of the terroristrelated aircraft crashes of September 11,
2001. In no event shall an award (before
collateral source compensation has been
deducted) be less than $500,000 in any
case brought on behalf of a deceased
victim with a spouse or dependent, or
$300,000 in any case brought on behalf
of a deceased victim who was single
with no dependents.
§ 104.42
Applicable state law.
The phrase ‘‘to the extent recovery for
such loss is allowed under applicable
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state law,’’ as used in the statute’s
definition of economic loss in section
402(5) of the Act, is interpreted to mean
that the Special Master is not permitted
to compensate claimants for those
categories or types of economic losses
that would not be compensable under
the law of the state that would be
applicable to any tort claims brought by
or on behalf of the victim.
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§ 104.43 Determination of presumed
economic loss for decedents.
In reaching presumed determinations
for economic loss for Personal
Representatives bringing claims on
behalf of decedents, the Special Master
shall consider sums corresponding to
the following:
(a) Loss of earnings or other benefits
related to employment. The Special
Master, as part of the process of
reaching a ‘‘determination’’ pursuant to
section 405(b) of the Act, shall develop
a methodology and publish schedules,
tables, or charts that will permit
prospective claimants to estimate
determinations of loss of earnings or
other benefits related to employment
based upon individual circumstances of
the deceased victim, including: The age
of the decedent as of the date of death;
the number of dependents who survive
the decedent; whether the decedent is
survived by a spouse; and the amount
and nature of the decedent’s income for
recent years. The Decedent’s salary/
income in the three years preceding the
year of death (or for other years the
Special Master deems relevant) shall be
evaluated in a manner that the Special
Master deems appropriate. The Special
Master may, if she deems appropriate,
take an average of income figures for the
three years preceding the year of death,
and may also consider income for other
periods that she deems appropriate,
including published pay scales for
victims who were government or
military employees. The Special
Master’s methodology and schedules,
tables, or charts shall yield presumed
determinations of loss of earnings or
other benefits related to employment for
annual incomes up to but not beyond
the 98th percentile of individual income
in the United States for the year
preceding the year of death. In cases
where the victim was a minor child, the
Special Master may assume an average
income for the child commensurate
with the average income of all wage
earners in the United States. For victims
who were members of the armed
services or government employees such
as firefighters or police officers, the
Special Master may consider all forms
of compensation (or pay) to which the
victim was entitled. For example,
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military service members’ and
uniformed service members’
compensation includes all of the various
components of compensation,
including, but not limited to, basic pay
(BPY), basic allowance for housing
(BAH), basic allowance for subsistence
(BAS), federal income tax advantage
(TAD), overtime bonuses, differential
pay, and longevity pay.
(b) Medical expense loss. This loss
equals the out-of-pocket medical
expenses that were incurred as a result
of the physical harm suffered by the
victim (i.e., those medical expenses that
were not paid for or reimbursed through
health insurance or other programs for
which the claimant was not charged).
This loss shall be calculated on a caseby-case basis, using documentation and
other information submitted by the
Personal Representative.
(c) Replacement services loss. For
decedents who did not have any prior
earned income, or who worked only
part-time outside the home, economic
loss may be determined with reference
to replacement services and similar
measures.
(d) Loss due to death/burial costs.
This loss shall be calculated on a caseby-case basis, using documentation and
other information submitted by the
personal representative and includes the
out-of pocket burial costs that were
incurred.
(e) Loss of business or employment
opportunities. Such losses shall be
addressed through the procedure
outlined above in paragraph (a) of this
section.
§ 104.44 Determination of presumed
noneconomic losses for decedents.
The presumed non-economic losses
for decedents shall be $250,000 plus an
additional $100,000 for the spouse and
each dependent of the deceased victim.
Such presumed losses include a
noneconomic component of
replacement services loss.
§ 104.45 Determination of presumed
economic loss for claimants who suffered
physical harm.
In reaching presumed determinations
for economic loss for claimants who
suffered physical harm (but did not die),
the Special Master shall consider sums
corresponding to the following:
(a) Loss of earnings or other benefits
related to employment. The Special
Master may determine the loss of
earnings or other benefits related to
employment on a case-by-case basis,
using documentation and other
information submitted by the claimant,
regarding the actual amount of work
that the claimant has missed or will
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miss without compensation.
Alternatively, the Special Master may
determine the loss of earnings or other
benefits related to employment by
relying upon the methodology created
pursuant to § 104.43(a) and adjusting
the loss based upon the extent of the
victim’s physical harm.
(1) Disability; in general. In evaluating
claims of disability, the Special Master
will, in general, make a determination
regarding whether the claimant is
capable of performing his or her usual
profession in light of the injuries.
(2) Total permanent disability. With
respect to claims of total permanent
disability, the Special Master may
accept a determination of disability
made by the Social Security
Administration as evidence of disability
without any further medical evidence or
review. The Special Master may also
consider determinations of permanent
total disability made by other
governmental agencies or private
insurers in evaluating the claim. The
Special Master may require that the
claimant submit an evaluation of the
claimant’s disability and ability to
perform his or her occupation prepared
by medical experts.
(3) Partial disability. With respect to
claims of partial disability, the Special
Master may consider evidence of the
effect of the partial disability on the
claimant’s ability to perform his or her
usual occupation as well as the effect of
the partial disability on the claimant’s
ability to participate in usual daily
activities.
(b) Medical Expense Loss. This loss
equals the out-of-pocket medical
expenses that were incurred as a result
of the physical harm suffered by the
victim (i.e., those medical expenses that
were not paid for or reimbursed through
health insurance or other programs for
which the claimant was not charged). In
addition, this loss equals future out-ofpocket medical expenses that will be
incurred as a result of the physical harm
suffered by the victim (i.e., those
medical expenses that will not be paid
for or reimbursed through health
insurance). These losses shall be
calculated on a case-by-case basis, using
documentation and other information
submitted by the claimant.
(c) Replacement services loss. For
injured claimants who did not have any
prior earned income, or who worked
only part-time outside the home,
economic loss may be determined with
reference to replacement services and
similar measures.
(d) Loss of business or employment
opportunities. Such losses shall be
addressed through the procedure
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outlined above in paragraph (a) of this
section.
§ 104.46 Determination of presumed
noneconomic losses for claimants who
suffered physical harm.
The Special Master may determine
the presumed noneconomic losses for
claimants who suffered physical harm
(but did not die) by relying upon the
noneconomic losses described in
§ 104.44 and adjusting the losses based
upon the extent of the victim’s physical
harm. Such presumed losses include
any noneconomic component of
replacement services loss.
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§ 104.47
Collateral sources.
(a) Payments that constitute collateral
source compensation. The amount of
compensation shall be reduced by all
collateral source compensation the
claimant has received or is entitled to
receive as a result of the terrorist-related
aircraft crashes of September 11, 2001,
or debris removal in the immediate
aftermath, including life insurance,
pension funds, death benefits programs,
payments by Federal, State, or local
governments related to the terroristrelated aircraft crashes of September 11,
2001, or debris removal, including
under the World Trade Center Health
Program established under section 3001
of the Public Health Service Act (to the
extent such program is authorized, at
the time of the payment, to continue
operations), and payments made
pursuant to the settlement of a civil
action as described in section
405(c)(3)(C)(iii) of the Act. In
determining the appropriate collateral
source offset for future benefit
payments, the Special Master may
employ an appropriate methodology for
determining the present value of such
future benefits. In determining the
appropriate value of offsets for pension
funds, life insurance and similar
collateral sources, the Special Master
may, as appropriate, reduce the amount
of offsets to take account of selfcontributions made or premiums paid
by the victim during his or her lifetime.
In determining the appropriate
collateral source offset for future benefit
payments that are contingent upon one
or more future event(s), the Special
Master may reduce such offsets to
account for the possibility that the
future contingencies may or may not
occur. In cases where the recipients of
collateral source compensation are not
beneficiaries of the awards from the
Fund, the Special Master shall have
discretion to exclude such
compensation from the collateral source
offset where necessary to prevent
beneficiaries from having their awards
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reduced by collateral source
compensation that they will not receive.
(b) Payments that do not constitute
collateral source compensation. The
following payments received by
claimants do not constitute collateral
source compensation:
(1) The value of services or in-kind
charitable gifts such as provision of
emergency housing, food, or clothing;
and
(2) Charitable donations distributed to
the beneficiaries of the decedent, to the
injured claimant, or to the beneficiaries
of the injured claimant by privately
funded charitable entities; provided
however, that the Special Master may
determine that funds provided to
victims or their families through a
privately funded charitable entity
constitute, in substance, a payment
described in paragraph (a) of this
section.
(3) Tax benefits received from the
Federal government as a result of the
enactment of the Victims of Terrorism
Tax Relief Act.
Subpart E—Payment of Claims
§ 104.51
Payments to eligible individuals.
(a) Payment date. Subject to
paragraph (c) of this section, the Special
Master shall authorize payment of an
award to a claimant not later than 20
days after the date on which:
(1) The claimant accepts the
presumed award; or
(2) A final award for the claimant is
determined after a hearing on appeal.
(b) Failure to accept or appeal
presumed award. If a claimant fails to
accept or appeal the presumed award
determined for that claimant within 30
days, the presumed award shall be
deemed to have been accepted and all
rights to appeal the award shall have
been waived.
(c) Pro-ration and payment of
remaining claims. The James Zadroga
9/11 Health and Compensation Act of
2010, Title II of Public Law 111–347,
requires that the total amount of Federal
funds paid for expenditures including
compensation with respect to claims
filed on or after October 3, 2011, will
not exceed $2,775,000,000.
Furthermore, the total amount of
Federal funds expended during the
period from October 3, 2011, through
October 3, 2016, may not exceed
$875,000,000.
(1) In general. The Special Master
shall ratably reduce the amount of
compensation due claimants in a
manner to ensure, to the extent possible,
that all claimants who are determined to
be entitled to a payment receive a
payment during the period from October
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54125
3, 2011, to October 3, 2016, and that the
total amount of all such payments made
during that 5-year period do not exceed
the amount available under law during
that period. The Special Master may
periodically adjust the amount of ratable
reduction in light of available
information regarding potential future
claims and available funds, and may
make additional payments in light of
such adjustments.
(2) Subsequent payments. Subject to
paragraph (c)(3) of this section, in any
case in which the amount of a claim is
ratably reduced pursuant to paragraph
(c)(1) of this section, on or after October
3, 2016, but in no event later than
October 3, 2017, the Special Master
shall pay to the claimant the amount
that is equal to the difference between:
(i) The amount that the claimant
would have been paid under the
presumed award; and
(ii) The amount the claimant was paid
during the period from October 3, 2011,
to October 3, 2016.
(3) In the event that the total amount
of all claims under paragraph (c)(2) of
this section exceeds the amount
available under law, the Special Master
shall ratably reduce the amount of
compensation due claimants in a
manner to ensure, to the extent possible,
that all claimants who are determined to
be entitled to an additional payment
receive their pro-rated share of the
available funds.
(4) At the time at which subsequent
payments are made, the Special Master
may review offsets from the World
Trade Center Health Program that were
included in the award determination
and adjust such subsequent payments to
reflect the Program’s current status.
(5) During the five years that the Fund
is accepting claims, the Special Master
shall report periodically on the total
amount of all claims under paragraph
(c)(2) of this section.
§ 104.52 Distribution of award to
decedent’s beneficiaries.
The Personal Representative shall
distribute the award in a manner
consistent with the law of the
decedent’s domicile or any applicable
rulings made by a court of competent
jurisdiction. The Personal
Representative shall, before payment is
authorized, provide to the Special
Master a plan for distribution of any
award received from the Fund.
Notwithstanding any other provision of
these regulations or any other provision
of state law, in the event that the Special
Master concludes that the Personal
Representative’s plan for distribution
does not appropriately compensate the
victim’s spouse, children, or other
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relatives, the Special Master may direct
the Personal Representative to distribute
all or part of the award to such spouse,
children, or other relatives.
Subpart F—Limitations
§ 104.61
Limitation on civil actions.
(a) General. Section 405(c)(3)(C) of the
Act provides that upon the submission
of a claim under the Fund, the claimant
waives the right to file a civil action (or
be a party to an action) in any Federal
or State court for damages sustained as
a result of the terrorist-related aircraft
crashes of September 11, 2001, or for
damages arising from or related to
debris removal, except that this
limitation does not apply to recover
collateral source obligations, or to a civil
action against any person who is a
knowing participant in any conspiracy
to hijack any aircraft or commit any
terrorist act. The Special Master shall
take appropriate steps to inform
potential claimants of section
405(c)(3)(C) of the Act.
(b) Pending actions. Claimants who
have filed a civil action or who are a
party to such an action as described in
paragraph (a) of this section may not file
a claim with the Special Master unless
they withdraw from such action not
later than January 2, 2012.
(c) Settled actions. In the case of an
individual who settled a civil action
described in Section 405(c)(3)(C) of the
Act, such individual may not submit a
claim under this title unless such action
was commenced after December 22,
2003, and a release of all claims in such
action was tendered prior to January 2,
2011.
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§ 104.62
Time limit on filing claims.
(a) In general. A claim may be filed by
an individual (or by a personal
representative on behalf of a deceased
individual) during the period beginning
on October 3, 2011, and ending on
October 3, 2016, as follows:
(1) In the case that the individual
knew (or reasonably should have
known) before October 3, 2011, that the
individual suffered a physical harm at a
9/11 crash site as a result of the
terrorist-related aircraft crashes of
September 11, 2001, or as a result of
debris removal, and is eligible to file a
claim under this Part as of October 3,
2011, the individual may file a claim
not later than October 3, 2013.
(2) In the case that the individual first
knew (or reasonably should have
known) on or after October 3, 2011, that
the individual suffered such a physical
harm or in the case that the individual
became eligible to file a claim under this
Part on or after that date, the individual
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may file a claim not later than the last
day of the 2-year period beginning on
either the date that the individual first
knew (or should have known) that the
individual both suffered from such
harm or the date the individual became
eligible to file a claim under this title,
whichever is later, but in no event
beyond October 3, 2016.
(b) Determination by Special Master.
The Special Master or the Special
Master’s designee should determine the
timeliness of all claims under paragraph
(a) of this section.
§ 104.63
Subrogation.
Compensation under this Fund does
not constitute the recovery of tort
damages against a third party nor the
settlement of a third party action, and
the United States shall be subrogated to
all potential claims against third party
tortfeasors of any victim receiving
compensation from the Fund. For that
reason, no person or entity having paid
other benefits or compensation to or on
behalf of a victim shall have any right
of recovery, whether through
subrogation or otherwise, against the
compensation paid by the Fund.
Subpart G—Measures To Protect the
Integrity of the Compensation Program
§ 104.71
fraud.
Procedures to prevent and detect
(a) Review of claims. For the purpose
of detecting and preventing the payment
of fraudulent claims and for the purpose
of assuring accurate and appropriate
payments to eligible claimants, the
Special Master shall implement
procedures to:
(1) Verify, authenticate, and audit
claims;
(2) Analyze claim submissions to
detect inconsistencies, irregularities,
duplication, and multiple claimants;
and
(3) Ensure the quality control of
claims review procedures.
(b) Quality control. The Special
Master shall institute periodic quality
control audits designed to evaluate the
accuracy of submissions and the
accuracy of payments, subject to the
oversight of the Inspector General of the
Department of Justice.
(c) False or fraudulent claims. The
Special Master shall refer all evidence of
false or fraudulent claims to appropriate
law enforcement authorities.
Subpart H—Attorney Fees
§ 104.81
Limitation on Attorney Fees.
(a) In general—(1) In general.
Notwithstanding any contract, the
representative of an individual may not
charge, for services rendered in
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connection with the claim of an
individual under this title, including
expenses routinely incurred in the
course of providing legal services, more
than 10 percent of an award paid under
this title on such claim. Expenses
incurred in connection with the claim of
an individual in this title other than
those that are routinely incurred in the
course of providing legal services may
be charged to a claimant only if they
have been approved by the Special
Master.
(2) Certification. In the case of any
claim in connection with which
servicers covered by this section were
rendered, the representative shall certify
his or her compliance with this section
and shall provide such information as
the Special Master requires to ensure
such compliance.
(b) Limitation—(1) In general. Except
as provided in paragraph (b)(2) of this
section, in the case of an individual who
was charged a legal fee in connection
with the settlement of a civil action
described in section 405(c)(3)(C)(iii) of
the Act, the representative who charged
such legal fee may not charge any
amount for compensation for services
rendered in connection with a claim
filed by or on behalf of that individual
under this title.
(2) Exception. If the legal fee charged
in connection with the settlement of a
civil action described in section
405(c)(3)(C)(iii) of the Act of an
individual is less than 10 percent of the
aggregate amount of compensation
awarded to such individual through
such settlement, the representative who
charged such legal fee to that individual
may charge an amount for compensation
for services rendered to the extent that
such amount charged is not more than—
(i) Ten (10) percent of such aggregate
amount through the settlement, minus
(ii) The total amount of all legal fees
charged for services rendered in
connection with such settlement.
(c) Discretion to lower fee. In the event
that the Special Master finds that the fee
limit set by paragraph (a) or (b) of this
section provides excessive
compensation for services rendered in
connection with such claim, the Special
Master may, in the discretion of the
Special Master, award as reasonable
compensation for services rendered an
amount lesser than that permitted for in
paragraph (a) of this section.
Dated: August 26, 2011.
Sheila L. Birnbaum,
Special Master.
[FR Doc. 2011–22295 Filed 8–30–11; 8:45 am]
BILLING CODE 4410–12–P
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Agencies
[Federal Register Volume 76, Number 169 (Wednesday, August 31, 2011)]
[Rules and Regulations]
[Pages 54112-54126]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-22295]
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DEPARTMENT OF JUSTICE
28 CFR Part 104
[Docket No. CIV 151]
RIN 1105-AB39
James Zadroga 9/11 Health and Compensation Act of 2010
AGENCY: Department of Justice.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: On January 2, 2011, President Obama signed into law the James
Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act). Title
II of the Zadroga Act reactivates the September 11th Victim
Compensation Fund of 2001 and requires a Special Master, appointed by
the Attorney General, to provide compensation to any individual (or a
personal representative of a deceased individual) who suffered physical
harm or was killed as a result of the terrorist-related aircraft
crashes of September 11, 2001, or the debris removal efforts that took
place in the immediate aftermath of those crashes. The Attorney General
appointed Sheila L. Birnbaum to serve as Special Master and administer
the Fund. On June 21, 2011, the Special Master issued a Notice of
Proposed Rulemaking that proposed to amend the regulations implementing
the Fund to reflect the changes made by the Zadroga Act. After
reviewing the extensive public comments and meeting with numerous
victims, victims' families, and other groups, the Special Master is
issuing this final rule and associated commentary, which make certain
clarifications and changes that are designed to address issues that
have been raised. Specifically, the final rule clarifies, supplements,
and amends the proposed rule by, among other things: Expanding the
geographic zone recognized as a ``9/11 crash site''; providing greater
consistency with the World Trade Center Health Program by adding
additional forms of proof that may be used to establish eligibility;
and clarifying the types of fees and charges that would come within the
caps on amounts that a claimant's representative may charge in
connection with a claim made to the Fund.
DATES: This final rule takes effect on October 3, 2011.
FOR FURTHER INFORMATION CONTACT: Kenneth L. Zwick, Director, Office of
Management Programs, Civil Division, U.S. Department of Justice, Main
Building, Room 3140, 950 Pennsylvania Avenue, NW., Washington, DC
20530, telephone 855-885-1555 (TTY 855-885-1558).
SUPPLEMENTARY INFORMATION:
Background
Pursuant to Title IV of Public Law 107-42 (``Air Transportation
Safety and System Stabilization Act'') (2001 Act), the September 11th
Victim Compensation Fund of 2001 was open for claims from December 21,
2001, through December 22, 2003. The Fund provided compensation to
eligible individuals who were physically injured as a result of the
terrorist-related aircraft crashes of September 11, 2001, and to
personal representatives of those who died as a result of the crashes.
Special Master Kenneth R. Feinberg was appointed by the Attorney
General to administer the Fund. The Fund was governed by Interim Final
Regulations issued on December 21, 2001, see 66 FR 66274, and by Final
Regulations issued on March 13, 2002, see 67 FR 11233. During its two
years of operation, the Fund distributed over $7.049 billion to
survivors of 2,880 persons killed in the September 11th attacks and to
2,680 individuals who were injured in the attacks or in the rescue
efforts conducted thereafter. In 2004, Special Master Feinberg issued a
report describing how the fund was administered. See Final Report of
the
[[Page 54113]]
Special Master for the September 11th Victim Compensation Fund of 2001,
available at https://www.justice.gov/final_report.pdf.
On January 2, 2011, President Obama signed the Zadroga Act into
law. Title I of the Zadroga Act establishes a program within the
Department of Health and Human Services to provide medical monitoring
and treatment benefits to eligible individuals. Title II amends the
2001 Act and reopens the Fund. Among other changes, Title II adds new
categories of beneficiaries for the Fund and sets new filing deadlines.
It also imposes a cap on the total awards that can be paid by the Fund
and limits the fees that an attorney may receive for awards made under
the Fund.
The Zadroga Act did not appropriate administrative funds for the
Fund to begin taking and processing claims. On April 15, 2011,
President Obama signed into law Public Law 112-10, the continuing
budget resolution for 2011, which permits the Fund to draw on the money
originally allocated in the Zadroga Act in order to pay for its
administrative expenses, beginning on October 1, 2011.
The Attorney General appointed Sheila L. Birnbaum to serve as
Special Master and to administer the Fund. On June 21, 2011, the
Special Master issued the Notice of Proposed Rulemaking, which provided
for a 45-day public comment period.
The Department received 95 comments since the publication of the
proposed rules. The Special Master's office has reviewed each of these
comments. In addition, the Special Master has participated in town hall
meetings with several hundred victims, victims' advocates, and others.
The Special Master has considered all comments in promulgating the
final rules. Significant comments received in response to the proposed
rules and any significant changes are discussed below.
Significant Comments or Changes
I. Eligibility
In order to be eligible for the Fund, Title II of the Zadroga Act
requires an individual to have been present at a ``9/11 crash site'' at
the time or in the immediate aftermath of the crashes, and have
suffered ``physical harm or death as a result of'' one of the air
crashes or debris removal. The Department received many comments
regarding the interpretation of these provisions in the proposed rule.
(a) ``9/11 Crash Site''
In requiring that a claimant have been present at a ``9/11 crash
site'' in order to receive compensation from the Fund, Title II of the
Zadroga Act recognizes that such sites include more than just the World
Trade Center, Pentagon, and Shanksville, Pennsylvania sites and the
buildings that were destroyed as a result. Title II of the Zadroga Act
defines ``9/11 crash site'' to include both the crash sites themselves,
routes of debris removal, and any area that is contiguous to one of the
crash sites that the Special Master ``determines was sufficiently close
to the site that there was a demonstrable risk of physical harm
resulting from'' the impact of the aircraft or subsequent fire,
explosions, or building collapses.
During the Fund's first iteration, Special Master Feinberg applied
a regulation that required him to make this same determination. At that
time, the most prevalent physical injuries were blunt trauma injuries
suffered by those who were struck by debris or who were in the zone in
which there was a demonstrable risk of physical harm from falling
debris, explosions, or fire. Accordingly, the relevant area was defined
to include the immediate area surrounding the World Trade Center:
Starting from the intersection of Reade and Centre Streets, the
northern boundary ran west along Reade Street to the Hudson River; the
western boundary was the Hudson River; the southern boundary ran from
the Hudson River, east along the line of W. Thames Street, Edgar Street
and Exchange Place to Nassau Street; and the eastern boundary, starting
from the intersection of Exchange Place and Nassau Street, ran north
along Nassau Street to the intersection of Centre and Reade Streets.
See Final Report of the Special Master for the September 11th Victim
Compensation Fund of 2001 at 19 and n. 53. The Zadroga Act, which
covers conditions that may have been caused over longer periods of time
and thus are not limited to harms caused by falling debris, states that
the term ``9/11 crash site'' ``includ[es]'' that original area but
could also include other areas.
The proposed rule suggested that the term ``9/11 crash site''
includes the area in Manhattan south of the line that runs along Reade
Street from the Hudson River to the intersection of Reade Street and
Centre Street, south on Centre Street to the Brooklyn Bridge, and along
the Brooklyn Bridge, or any other area contiguous to the crash sites
that the Special Master determines was sufficiently close to the site
that there was a demonstrable risk of physical harm resulting from the
impact of the aircraft or any subsequent fire, explosions, or building
collapses (including the immediate area in which the impact occurred,
fire occurred, portions of buildings fell, or debris fell upon and
injured individuals). Those proposed boundaries are substantially
broader than those used in the Fund's first iteration and narrower than
boundaries used for the World Trade Center (WTC) Health Program in
Title I of the Act.
Several commenters stated that the proposed boundaries were too
narrow. Some commenters noted that debris removal barges were located
north of Reade Street. With respect to these comments, areas related to
debris removal barges will be covered. The definition of ``9/11 crash
site'' in the Zadroga Act and proposed and final rules includes
``routes of debris removal, such as barges and Fresh Kills.'' Another
commenter urged that survivors who were present at the Shanksville,
Pennsylvania, or Pentagon sites should be covered. The Zadroga Act and
proposed and final rules cover those who were present at, among other
things, the ``Pentagon site, and Shanksville, Pennsylvania site.'' As a
result, both the areas in which the barges were located and the
Pentagon and Shanksville sites will be covered.
Some suggested that the Fund's geographic definition of ``9/11
crash site'' should be coextensive with the geographic boundaries
identified in Title I of the Zadroga Act, for the WTC Health Program.
Such boundaries would ensure complete consistency in geographic
eligibility under the two programs. While that consistency has value,
Title II of the Zadroga Act requires the Special Master to make an
independent determination based on the area in which there was a
demonstrable risk of harm. Accordingly, the Special Master must review
evidence of that risk. That evidence is discussed further below.
Some commenters indicated that dust from the explosions traveled
north of Reade Street, as well as into parts of Brooklyn, thereby
creating a heightened risk of harm in those areas, too. Some of these
comments indicated that dust was visibly present north of Reade Street.
A few commenters noted further that even in areas in which dust was not
visibly present, harmful microscopic dust particles may have traveled
farther north.
A review of the comments and of available scientific evidence
suggests that the risk of physical harm differed depending on the level
of an individual's exposure. Based on the comments that were submitted,
as well as further examination of the available evidence, the Special
Master has determined that individuals in the area
[[Page 54114]]
of Manhattan south of Canal Street suffered an increased risk of harm
as a result of the crashes, depending on the duration, timing and
amount of exposure. In addition to the dust that was present most
heavily in the area south of Reade Street, there is also evidence
suggesting that prolonged exposure to dust between Reade Street and
Canal Street created a demonstrable risk of physical harm. There are
also substantial numbers of patients who live between Reade Street and
Canal Street that are receiving treatment in the World Trade Center
Environmental Health Center program. Based on this information, the
final rule expands the zone of geographic eligibility to include the
area south of Canal Street.
While there is evidence that the smoke plume from the site traveled
beyond Manhattan south of Canal Street, the concentrations of
contaminants in the smoke cloud were most intense within and very near
Ground Zero. By the time the smoke cloud had reached other areas, such
as Brooklyn, the particulate concentrations were significantly diluted.
Thus while the final rule gives the Special Master discretion to
identify, based on additional evidence, additional areas in which there
was a demonstrable risk of harm, the initial zone of coverage will
include the World Trade Center, Pentagon, and Shanksville sites; the
buildings that were destroyed; the area south of Canal St. in lower
Manhattan; and the routes of debris removal. It is important to bear in
mind, however, that eligibility for the Fund requires not only that a
claimant have been present at one of these 9/11 crash sites, but also
that the claimant satisfy the Fund's other eligibility criteria,
including that the claimant's injury was ``a result of'' the aircraft
crashes or debris removal. Depending on the condition, this criterion
likely will be satisfied only by individuals with significant exposure,
and thus individuals who have transient or limited exposure are
unlikely to meet this requirement.
Finally, a few comments expressed uncertainty regarding whether
claimants must live in the New York area to be eligible for the Fund.
The Special Master does not believe that these questions require any
changes to the proposed rule. Although the proposed and final rules
address the location of a claimant in the immediate aftermath of the
attacks, there is no requirement regarding a claimant's current
residence or location. Therefore, eligibility is not limited to those
who currently live in the New York area.
(b) Physical Harm or Death as a Result of the Crash or Debris Removal
In requiring that a claimant have suffered ``physical harm or death
as a result of'' one of the air crashes or the debris removal, the
Zadroga Act also requires the Special Master to determine which
physical harms and deaths were ``a result of'' the crashes or debris
removal within the meaning of the statute.
Although Title II of the Zadroga Act does not provide additional
specificity about the harms that are to be covered by the Fund, Title I
of the Zadroga Act, which establishes the WTC Health Program, contains
a list of illnesses and health conditions for which exposure to
airborne toxins, other hazards and any other adverse conditions
resulting from the September 11, 2001 terrorists attacks could be
determined by experienced medical professionals to be substantially
likely to have been a significant factor in aggravating, causing, or
contributing to an illness or health condition, as well as procedures
for adding additional conditions to the list over time. That title also
provides that in order for an individual to receive treatment under the
WTC Health Program, there must be an individual determination that the
WTC attacks were ``substantially likely to be a significant factor in
aggravating, contributing to, or causing the illness or health
condition.''
The proposed rule required the Fund to maintain and publish a list
of presumptively covered conditions that resulted from the air crashes
or debris removal. This list would consist of the physical injuries and
conditions that are found, under the WTC Health Program, to be WTC-
related health conditions. The proposed rule also required the Special
Master to update this list so that it includes not only those physical
conditions listed in Title I of the Zadroga Act, but also any
additional physical conditions that the WTC Health Program determines
to be WTC-related.
General approach. Many individuals and organizations commented on
the general approach that the Fund should take on these issues. One set
of comments noted that in order to ensure that the available funds go
to those most deserving, it will be important for the Fund to ensure
that the compensated injuries are, in fact, caused as a result of the
crashes and debris removal. Other comments rightly noted the sacrifices
made by the first responders and other claimants, and urged that the
Fund reciprocate the generosity that they showed. Through the processes
laid out in Zadroga Act and the final rule, the Fund will seek to
ensure that eligible claimants are compensated in the manner Congress
provided, and that payments to the deserving are not diluted by
payments made to claimants who do not actually meet the criteria laid
out in the law.
Cancer and other conditions. The most frequently discussed topic in
these comments concerned eligibility for individuals with cancer. Most
of these comments argued that cancer should be considered a WTC-related
condition. Several commenters stated that many first responders who
worked or volunteered at Ground Zero have developed cancer, and that it
is likely that these conditions resulted from the air crashes or debris
removal. To a lesser extent, other illnesses were also suggested for
coverage.
After considering all of the comments and the available evidence,
the Special Master will continue to rely on the medical judgment made
by the WTC Health Program. While the Fund will continue to evaluate new
evidence as it becomes available, and will add to its list of
presumptively covered conditions any physical injury condition that the
WTC Health Program recognizes as WTC-related, the final rule will not
add any additional conditions at this time. Title I of the Zadroga Act
contains a list of illnesses and health conditions that experienced
medical professionals have determined could be found on an individual
basis to be substantially likely to have been aggravated, caused, or
contributed to by exposure to airborne toxins, other hazards and any
other adverse conditions resulting from the September 11, 2001
terrorists attacks. This list does not include any form of cancer. In
addition, the Zadroga Act requires the Administrator of the WTC Health
Program to consider other conditions for coverage over time, and
specifically to ``periodically conduct a review of all available
scientific and medical evidence, including findings and recommendations
of Clinical Centers of Excellence, published in peer-reviewed journals
to determine if, based on such evidence, cancer or a certain type of
cancer should be added to the applicable list of WTC-related health
conditions.'' 42 U.S.C. sec. 300mm-22(a)(5)(A).
The first periodic review by the WTC Health Program Administrator
found insufficient scientific and medical evidence for adding cancer to
the list of covered conditions. See First Periodic Review of Scientific
and Medical Evidence Related to Cancer for the World Trade Center
Health Program; as prepared by the Department of Health and Human
Services, Centers for
[[Page 54115]]
Disease Control and Prevention, National Institute for Occupational
Safety and Health, available at https://www.cdc.gov/niosh/topics/wtc/prc/prc-1.html. That review was based on peer-reviewed scientific
literature, findings and recommendations solicited from clinics and
other stakeholders who monitor the health of WTC first responders, and
information solicited from the public through notices issued in March
2011. The WTC Health Program's second review will consider additional
evidence that has become available since the initial review, and
determine whether it provides a sufficient basis to identify particular
types of cancer as WTC-related conditions. If the WTC Health Program
determines that certain forms of cancer should be added to the list of
WTC-related conditions, the final rule requires the Special Master to
add such conditions to the list of presumptively covered conditions for
the Fund.
PTSD and mental health conditions. Several comments argued that the
Fund should include individuals with Post-Traumatic Stress Disorder
(PTSD) or other mental health conditions. The Special Master is unable
to change the final rule to accept these comments. As in the Fund's
first iteration, the statute creating the Fund limits eligible injuries
to those consisting of ``physical harm.'' While individuals with mental
or emotional injuries may be eligible for treatment by the WTC Health
Program, the statutory language does not permit the Fund to cover
individuals with only mental and emotional injuries.
Extraordinary circumstances. Finally, the Special Master notes that
the final regulations do not make the list of presumptively covered
conditions the only conditions for which a claimant may seek coverage
from the Fund. Where the claimant satisfies other eligibility criteria,
including presence at a 9/11 crash site, and establishes extraordinary
circumstances that were not adequately taken into account in the list
of presumptively covered conditions, the proposed rule will permit the
Special Master to find the claimant eligible even if the injury in
question is not on the list of presumptively covered conditions. Though
one commenter suggested that the ``extraordinary circumstances'' test
is too high a bar, as a result of the Fund's reliance on the WTC Health
Program's process for making decisions based on the best available
science, it is anticipated that it will be the unusual case in which a
condition not on the list of presumptively covered conditions would be
covered. Any lower threshold for that determination would invite much
larger volumes of claims that would require extensive, expensive
reviews, sapping administrative costs out of the funds available to pay
other victims, but would be highly unlikely to result in payable
claims. Given those trade-offs, the final rule maintains the
``extraordinary circumstances'' standard.
(c) Immediate Aftermath
One comment suggested that, because many workers continued their
efforts after May 30, 2002, the period defined as the ``immediate
aftermath'' should be defined to match the eligibility requirements for
the WTC Health Program, and that individuals who suffered harms after
May 30, 2002, should be eligible if they can meet other eligibility
requirements. Because the Zadroga Act defines the ``immediate
aftermath'' to end at May 30, 2002, the Fund has no discretion to
extend that deadline. Another commenter suggested that regulations make
clear that individuals whose work spanned the period before and after
May 30, 2002 are eligible to file claims and that any injury sustained
by such an individual that is found to have occurred (either in whole
or in part) from work at the site after May 30, 2002, shall be deemed
to ``relate back'' to the individual's work at the WTC Site prior to
May 30, 2002. The Special Master does not believe that this comment
requires a change to the rule. The Zadroga Act requires that an
individual have been present prior to May 30, 2002 in order to be
eligible; an individual's eligibility will not be affected by whether
he or she continued to be present after that date. Once an individual
is deemed to have been eligible based on presence during the relevant
time period, it will not be necessary for the Fund to determine the
precise date on which the condition was deemed to have been caused.
(d) Forms of Proof
Several comments also sought to ensure that, to the greatest extent
possible, the information required to determine eligibility in the Fund
are consistent with the information required for participation in the
WTC Health Program. Section 104.22(b)(3)(ii) has been modified to
include certain forms of proof that will be considered in the WTC
Health Program. The forms of proof listed there are not exhaustive, and
the Fund will consider other appropriate forms of proof.
II. Timing and Effect of Filing Claims
Several comments focused on the times by which claimants must file
claims, and the consequences of those filings on any September 11th-
related civil litigation.
Timing. Commenters expressed concerns regarding the two-year
statute of limitations on filing claims. One commenter indicated that
if a new condition is added as a presumptively covered condition in the
Fund's third year, claimants who had that condition but had not applied
in the first two years should not be barred from filing a claim. The
Fund agrees that the Zadroga Act's two-year statute of limitations does
not bar that claim, and that individuals have two years from the time
that they became eligible to file a claim. Sections 104.62(a)(1) and
(a)(2) of the final rule make clear that the two-year statute of
limitations on a claim does not begin to run before an individual is
eligible to file the claim.
One commenter also noted that there may be instances in which the
two-year statute of limitations extends past the Fund's five-year
limitation on accepting claims. The Zadroga Act provides that
notwithstanding the two-year statute of limitations, claims may not be
filed after the date that is five years after the regulations become
final. The Special Master has no discretion to change the final rule in
this respect.
Relationship to litigation. There were a variety of concerns
expressed regarding the requirement that claimants in pending WTC-
related litigation withdraw from their litigation prior to submitting a
claim to the Fund. One comment contended that the requirement should be
eliminated entirely, because it puts claimants who already settled
their actions on different footing from those who have not already
settled their actions, will encourage litigants who might have been
successful in their litigation to withdraw from it and apply instead to
the Fund, and will reduce the funds available to pay claims from the
Fund. There were also concerns that requiring claimants to withdraw
from litigation within 90 days of the final regulations would force
them to give up their civil actions without knowing whether they would
be eligible for payment under the Fund; the commenter proposed that the
Fund require withdrawal of the civil action only after the Fund has
advised the claimant whether he or she would be eligible for payment.
With respect to both issues, the requirement to withdraw from pending
WTC-related litigation within 90 days of the regulations becoming final
is a statutory provision, which the Special Master has no authority to
disregard. Nor may the Fund accept the commenter's suggestion to
determine a potential claimant's eligibility prior to requiring the
claimant
[[Page 54116]]
to withdraw a pending suit. The statute requires such individuals to
withdraw from pending litigation within 90 days of the promulgation of
these regulations; otherwise the individual ``may not submit a claim.''
Therefore, the Fund cannot accept applications that do not satisfy this
requirement.
One comment raised the specific concern that the filing of a claim
with the Fund should not preclude a claimant from later filing a civil
action regarding harms that a claimant later suffers that are unrelated
to the harm for which the claim was submitted. This comment suggests
that the release that claimants were required to sign in the Fund's
first iteration was overly broad. By law, when a claimant submits a
claim, ``the claimant waives the right to file a civil action (or to be
a party to an action) in any Federal or State court for damages
sustained as a result of the terrorist-related aircraft crashes of
September 11, 2001, or for damages arising from or related to debris
removal.'' Section 104.61 of the rule requires the Special Master to
inform potential claimants of this statutory requirement. While the
final rule permits claimants to amend their claims to add new
conditions in certain circumstances, the Fund does not have the
authority to change the terms or consequences of the statute.
III. Valuation of Claims
A number of commenters suggested changes in the manner in which the
Fund would determine the appropriate value of compensable claims.
Methodology for injury claims. One commenter was troubled that the
Special Master, in determining economic loss for claimants who suffered
physical harm, may rely upon the methodology created for determination
of economic loss for claimants who died. The commenter noted that in
calculating economic loss for death claims, a deduction is taken for
consumption that would not be appropriate in calculating losses for
injury claims. The Special Master agrees with the commenter that it
would not be appropriate to deduct for consumption in personal injury
claims, and notes that the methodology applied in the first iteration
of the Fund in fact made an adjustment to eliminate consumption
deductions when computing economic loss for injury claims. Accordingly,
no change in the rule is necessary.
Future losses. Several comments focused on the manner in which the
Fund would calculate future losses. Some noted that the accuracy of
calculations of future economic losses may depend on the continuation
of the WTC Health Program. These comments note that the WTC Health
Program is set to expire in 2016, and that projections of future
medical expenses should be lower if treatment provided under that
program is extended. In order to ensure that projections of future
economic losses are as accurate as possible, the final rule modifies
Section 104.47 to clarify that in calculating offsets from the World
Trade Center Health Program, the Fund will assume continuing operations
of the Program to the extent that the Program is authorized to continue
operations at the time of the payment to the claimant. If the Program
is extended, shortened, or modified before a claimant's subsequent
payments, such subsequent payments may be adjusted to reflect the
Program's current status.
Other comments focused on the valuation of replacement services and
noted that replacement services losses can be substantial and should be
considered. Replacement services loss is included in the definition of
economic loss in the statute. Under the Fund's first iteration, the
computation of economic loss included replacement services loss where
such loss was demonstrated with appropriate proof. In addition, under
the proposed rule and the rule that governed the Fund's first
iteration, Sections 104.43(c) and 104.45(c) specifically provide that
replacement services losses may be compensated for individuals who did
not have any prior earned income or who worked only part-time outside
the home. That provision does not exclude other individuals for whom
replacement services losses may also be appropriate. As in the Fund's
first iteration, losses from replacement services may be variable, and
claimants must present individualized data to support their inclusion
in an award.
Finally, one comment suggested that the valuation approach proposed
in Section 104.43(a), regarding the appropriate calculation for future
losses for victims who are minors, should rely not on the average
income of all wage earners, but on likely educational attainment based
on the child's demographics. In the Fund's first iteration, minor
children's earning capacity was based on average income of all wage
earners. Changing the standard now would result in different projected
earnings between identical claimants in the two Funds, based solely on
when the claim was filed. While slight modifications to the previous
valuation models may be appropriate where the facts underlying the
assumptions have changed, adopting a new approach to valuation now
would undermine the consistency that is important to treating all
claimants equally. Further, given the difficulty of projecting a
child's future earning capacity, regardless of the model, a heavily
fact-intensive inquiry for such projections may add significant
administrative costs with little additional benefit in accuracy.
Valuation of mental injuries. Some commenters noted that it is
often difficult to distinguish between the harms caused by physical
injuries and those caused by mental injuries, with one commenter
suggesting that awards for non-economic losses should take into account
the losses caused by PTSD. Under the Zadroga Act, non-economic losses
consist of ``losses for physical and emotional pain, suffering,
inconvenience, physical impairment, mental anguish, disfigurement, loss
of enjoyment of life, loss of society and companionship, loss of
consortium (other than loss of domestic service), hedonic damages,
injury to reputation, and all other nonpecuniary losses of any kind or
nature.'' To the extent that an individual is eligible for compensation
by the Fund, an award for non-economic losses will reflect these harms,
but no change is required to the final rule.
Offsets. One comment addressed the manner in which pensions are
used as offsets, and urged that the regulations distinguish between
retirement pensions that are earned through years of service and
disability pensions that are based on an injury caused by September
11th. Section 104.47(a) provides that pension funds will be used to
offset payments only to the extent they are related to the crashes or
debris removal. Standard retirement pensions will not be used as
offsets.
Reliance on determinations by other bodies. Several commenters
suggested that the Fund should recognize determinations of eligibility
or disability made by other government agencies, such as the Department
of Veterans Affairs and Department of Labor, administrative boards, or
in the September 11th litigation. One commenter noted that relying on
such determinations would save administrative costs. Under Section
104.22(c)(2), a claimant may submit any such information for
consideration by the Fund. As in the first iteration, the Fund will
consider such information in the context of the full claim.
IV. Funding and Payment of Claims
A number of comments focused on the amounts available for payment
and the manner in which the regulations proposed to distribute the
available
[[Page 54117]]
funds. For example, several comments addressed the provisions in the
Zadroga Act regarding the $2.775 billion cap on total awards that can
be paid by the Fund, as well as the requirement that only $875 million
may be paid during the first five years of the Fund. One commenter
suggested simply that additional funding will be needed. Another argued
that claimants should not have to wait five years to receive full
payment. Because Congress explicitly provided these requirements in the
statute creating the Fund, these requirements cannot be changed by the
Special Master.
Another comment focused on the schedule of payments, and suggested
that instead of evenly dividing the funds available to make the initial
award payments, the Fund should take into account the extent of a
claimant's harm and the immediacy and severity of the claimant's need.
The Special Master has given this suggestion considerable thought, and
recognizes that--particularly given that only one-third of the overall
funding is available during the Fund's first five years--initial
payments may make only a small difference in a claimant's overall
circumstance. Because initial payments will be pro-rated, those who
have suffered or will suffer greater harms will receive larger payments
than those with lesser harms. To that extent, the initial payments will
take into account both the extent of the claimant's harm and the
immediacy of the claimant's need. However, giving greater awards based
on the immediacy of a particular claimant's needs raises numerous
practical challenges, such as the nature of the urgent needs that would
justify a greater payment: The Zadroga Act empowered the Special Master
to determine how much a claimant is entitled to receive for economic
losses, but the Special Master is not in a position to compare the
urgency of each claimant's needs and resources.
While the final rule thus does not contemplate advance benefits for
urgent needs, it does incorporate a change that may ease some of this
burden. One comment noted that over the Fund's first five years, it may
become apparent that it would be possible to provide claimants with
more than one payment without expending all the available funds. The
proposed rule contemplated just two rounds of payments to each
claimant: An initial payment within the first five years, followed by
the remaining payment in the sixth year. If it becomes apparent that
sufficient funding is available for additional payments before the
sixth year, the final rule gives the Special Master discretion to make
such additional payment.
Finally, some commenters asked that the Fund inform claimants of
the Fund's full valuation of their award at the time the award decision
is made, even though the first payment will only be a pro-rated portion
of that total. Under Section 104.33(g), the Special Master will notify
the claimant in writing of the final amount of the award. The Special
Master intends for this notice to inform the claimant of the Fund's
full award determination and the pro-rated amount of the initial
payment. In addition, claimants will be informed that they will receive
a subsequent payment during the Fund's sixth year, but that the amount
of this payment is not certain, and may be reduced pursuant to Section
Sec. 104.51 (requiring the Special Master to ratably reduce the amount
of compensation in the event that the total amount of all claims
exceeds the amount available under law) and Section 104.47 (authorizing
the Special Master to recalculate offsets from the World Trade Center
Health Program and adjust subsequent payments accordingly).
V. Fees and Expenses
A number of comments sought clarity or modifications in the
provisions of the proposed rule regarding the amounts that a
representative of a claimant may charge in connection with a claim made
to the Fund.
10% cap on fees. Some comments sought clarity on the provisions
implementing the Zadroga Act's 10% cap on fees that representatives may
charge a client in connection with a claim to the Fund. Specifically,
one set of these comments expressed concern that the regulations did
not provide sufficient guidance on the types of fees and charges that
would come within the cap on amounts that a claimant's representative
may charge in connection with a claim made to the Fund. While it is
recognized that there may be cases in which an attorney provides some
unusual service, and there is no indication in the statute that
Congress intended to disadvantage claimants by discouraging those
attorneys from providing beneficial services, the Zadroga Act does
reflect an intention to limit the amounts that may be charged for
routine legal services. Accordingly, the final rule clarifies that the
caps on amounts that an attorney may charge include charges for
expenses routinely incurred in the course of providing legal services.
Thus, for example, absent special circumstances, routine office
photocopying costs, as well as fees charged by expert consultants or
witnesses, that are routinely incurred in the course of providing legal
services, count against the caps on fees that attorneys may charge. By
the same token, where an attorney provides a non-routine service, which
depending on the circumstances may include acquiring a client's files
from a third party (rather than requiring the claimant to collect those
files), the attorney may be able to pass along those costs on top of
the routine fees. Thus, the final rule notes that charges for services
routinely incurred in the course of providing legal services fall
within the cap on fees, and provides that attorneys or other
representatives may seek the Fund's approval to charge for non-routine
services in particular cases.
Records costs. Along similar lines, there were a number of comments
regarding the costs of obtaining voluminous medical files that are
often in the possession of a claimant's medical provider or previous
counsel. Some comments suggested that the Fund establish a retrieval
service or limit the fees that custodians of those records may charge
claimants or their new attorneys for providing documents that a
claimant must provide to the Fund. Others noted that the custodian's
costs of producing such records can be significant, too, and that
current custodians should be permitted to pass on reasonable costs.
At the outset, it is worth noting that the Fund intends to work
with willing custodians who possess large volumes of relevant records
to determine the extent to which it is possible to transfer appropriate
information to the Fund electronically. Providing the electronic
transfer of information where appropriate and cost-effective will
reduce burdens and costs for claimants.
Further, while the Zadroga Act does not grant the Fund the
authority to establish caps on costs that a third-party custodian not
before the Fund may charge for providing records, it does empower the
Special Master to ensure that counsel who represent claimants before
the Fund are charging appropriate rates. The Special Master recognizes
the role that able counsel will serve in the claims process, and notes
that in the Fund's first iteration, there was an outpouring of pro bono
assistance that was consistent with the spirit of the legislation and
the Bar's tradition of public service. While the Zadroga Act does not
prevent a claimant's previous counsel from passing along certain
minimal administrative costs associated with the transfer of files,
attorneys have professional obligations regarding a client's access to
his or her records. The
[[Page 54118]]
Zadroga Act empowers the Special Master to reduce the fees that an
attorney may charge claimants, and attorneys who charge unreasonable
costs for the services provided should expect that, in appropriate
cases, the Fund will exercise its statutory authority to limit the fees
charged.
Effects of fees charged in a previous settlement. One comment
focused on the question of whether certain attorneys may charge fees in
connection with a claim filed with the Fund. Specifically, the
commenter expressed concern regarding Section 104.81 of the proposed
rule, which implements the Zadroga Act's statutory cap on fees that an
attorney who charged a fee in connection with a prior September 11th-
related settlement may charge in connection with a claim submitted to
the Fund. Under the Zadroga Act, such an attorney may charge a fee in
connection with the claim to the Fund only if the legal fee charged in
connection with the settlement ``is less than 10 percent of the
aggregate amount of compensation awarded to such individual through
such settlement''; in such instances, the attorney may receive only
such funds as are necessary to reach a total payment that equals 10
percent of the aggregate compensation from the settlement. The
commenter expressed concern that Section 104.81 of the proposed
regulation interprets this provision in a manner that is inequitable to
attorneys who previously represented clients in a settlement, and
argued that the cap on fees should be based on the aggregate of the
civil settlement and recoveries under the Fund. The statute refers to
``the aggregate amount of compensation awarded to such individual
through such settlement'' (emphasis added), and therefore does not
permit such a reading.
Along similar lines, the commenter suggested that Section
104.81(b)(1) of the proposed rule be clarified to give guidance on
whether an attorney who previously charged a fee in connection with a
previous settlement may charge a client's new counsel a ``consultation
or participation fee'' in connection with the client's claim to the
Fund. The commenter suggests that such consultation or participation
fee would allow the former attorney to provide time and resources to
assist the new counsel. The statutory provision in question provides
that ``the representative of the individual may not charge any amount
for compensation for services rendered in connection with a claim filed
under this title.'' The proposed regulatory provision on which the
commenter sought clarification had stated that such attorney may not
charge ``that individual'' any such amount; the commenter suggests that
because a consultation fee would not increase the overall charge to the
claimant herself, but would be charged only to the claimant's new
counsel, a consultation or participation fee achieves the statutory
objectives. The Special Master disagrees, and the final rule clarifies
that provision. Because Congress dictated that the representative ``may
not charge any amount for compensation for services rendered in
connection with a claim,'' it would defeat Congress's intention were
that representative permitted to charge an amount for services
rendered. Accordingly, Section 104.81(b)(1) is clarified in the final
rule to track, with one exception, the statutory language. Because it
does not appear that Congress intended to forbid such a representative
from charging for services rendered in connection with claims filed by
other clients, whom the representative did not charge any amount in a
previous settlement, Section 104.81(b)(1) is clarified to provide that
``the representative who charged such legal fee may not charge any
amount for compensation for services rendered in connection with a
claim filed by or on behalf of that individual under this title''
(emphasis added).
VI. Other Comments
The Fund received a number of additional comments that, while not
requiring changes to the regulations, raise important issues for the
administration of the Fund. As the Special Master has indicated
previously, her goal is to design a program that is fair, transparent,
and easy to navigate. The many suggestions along these lines will be
extremely valuable as the Fund gets up and running.
Comments stressed the importance of making the claims process as
accessible to the public as possible, a goal that the Special Master
shares. Commenters suggested several ways that the Fund can make this
goal a reality. They stressed the value of transparency, so that
claimants can make informed decisions and understand the reasons for
how their claims are handled. The Special Master agrees that making
public as much information as possible concerning the Fund's valuation
methodologies will assist claimants in deciding whether to file with
the Fund or pursue other forms of relief. The Fund will provide
information outside the context of formal regulations, such as through
Frequently Asked Questions, periodic reports, explanations of decisions
to individual claimants, and other materials on the Fund's Web site, in
order to give claimants greater confidence in the Fund's decision-
making processes.
Making the Fund accessible to the public also requires that the
process be as simple and non-bureaucratic as possible. Although
claimants should be able to use an attorney if they so choose, the
process should be simple enough that claimants can participate without
the need for one--and the Special Master should encourage attorneys to
provide pro bono assistance. Given the diversity of the eligible
population, commenters also urged the Fund to translate key forms and
other materials into languages other than English. The Special Master
agrees with these commenters and will take steps to make the Fund more
accessible in these ways.
In addition to creating a process that is transparent, commenters
also urged the Special Master to recognize that between private
litigation and various governmental programs operating in this space, a
lack of consistency can lead to confusion, frustration, and increased
burdens on claimants who have already suffered extensively. Commenters
noted that this can play out in a variety of contexts: Different sets
of forms and proof requirements; different types of harms and valuation
methodologies; and inconsistent determinations between government
programs ostensibly aimed at the same populations. While the Fund has
certain unique statutory purposes, the Special Master recognizes that
unnecessary inconsistency and redundancy are in no one's interests. So
while some differences are inevitable, coordination with other
government programs will be an important consideration in the Fund's
operations. Importantly, as part of the Fund's efforts to minimize
burdens on claimants, it will work with medical providers and others in
possession of claimants' information to provide for appropriate
transfers of electronic data where possible.
The Special Master appreciates all of these comments, as well as
the many comments expressing appreciation or good wishes for the Fund's
operations. While the suggestions here do not require changes in the
regulations, they suggest a number of ways that the Fund can better
achieve its mission. They will all be taken into account as we seek to
build a program that serves this community as the Zadroga Act intended.
[[Page 54119]]
Regulatory Certifications
Paperwork Reduction Act of 1995
This rule implements Title II of the Zadroga Act, which reactivates
the September 11th Victim Compensation Fund of 2001. In order to be
able to evaluate claims and provide compensation, the Fund will need to
collect information from an individual (or a personal representatives
of a deceased individual) who suffered physical harm or was killed as a
result of the terrorist-related aircraft crashes of September 11, 2001
or the debris removal efforts that took place in the immediate
aftermath of those crashes. Accordingly, the Department of Justice
(DOJ), Civil Division will submit an information collection request to
the Office of Management and Budget (OMB) for review and clearance in
accordance with the emergency review procedures of the Paperwork
Reduction Act of 1995. The Department will also publish a Notice in the
Federal Register soliciting public comment on the information
collection associated with this rulemaking.
Regulatory Flexibility Act
These regulations set forth procedures by which the Federal
government will award compensation benefits to eligible victims of the
September 11, 2001 terrorist attacks. Under 5 U.S.C. 601(6), the term
``small entity'' does not include the Federal government, the party
charged with incurring the costs attendant to the implementation and
administration of the Victims Compensation Fund. Accordingly, the
Department has reviewed this rule in accordance with the Regulatory
Flexibility Act (5 U.S.C. 605(b)) and by approving it certifies that
this rule will not have a significant economic impact on a substantial
number of small entities because it provides compensation to eligible
individuals who were physically injured as a result of the terrorist-
related aircraft crashes of September 11, 2001, and compensation
through a ``personal representative'' for those who were killed as a
result of those crashes. This rule provides compensation to
individuals, not to entities.
Executive Orders 12866 and 13563--Regulatory Review
This regulation has been drafted and reviewed in accordance with
Executive Order 12866, ``Regulatory Planning and Review'' section 1(b),
Principles of Regulation and in accordance with Executive Order 13563
``Improving Regulation and Regulatory Review'' section 1(b) General
Principles of Regulation.
The Department of Justice has determined that this rule is an
``economically significant regulatory action'' under Executive Order
12866, section 3(f), Regulatory Planning and Review, and accordingly
this rule has been reviewed by the Office of Management and Budget.
Further, both Executive Orders 12866 and 13563 direct agencies to
assess all costs and benefits of available regulatory alternatives and,
if regulation is necessary, to select regulatory approaches that
maximize net benefits (including potential economic, environmental,
public health and safety effects, distributive impacts, and equity).
Executive Order 13563 emphasizes the importance of quantifying both
costs and benefits, of reducing costs, of harmonizing rules, and of
promoting flexibility. The Department has assessed the costs and
benefits of this regulation and believes that the regulatory approach
selected maximizes net benefits.
Assessment of Benefits, Costs, and Alternatives.
As required by Executive Order 13563 and Executive Order 12866 for
economically significant regulatory actions, the Department has
assessed the benefits and costs anticipated from this rulemaking and
considered whether there are reasonably feasible alternatives to this
rulemaking, including considering whether there are reasonably viable
non-regulatory actions that could be taken in lieu of this rulemaking.
The purpose of this rulemaking is to provide the legal and
administrative framework necessary to provide compensation to any
individual (or a personal representative of a deceased individual) who
suffered physical harm or was killed as a result of the terrorist-
related aircraft crashes of September 11, 2001 or the debris removal
efforts that took place in the immediate aftermath of those crashes, as
provided by Title II of the Zadroga Act. The primary benefits and costs
of this rulemaking are both set by statute as Congress has appropriated
a capped amount--$2.775 billion payable over a period of years--for
this program. Because the $2.775 billion appropriated by Congress for
the Fund must pay for claimant awards as well as the Fund's
administrative expenses, it is important for the Fund to establish
procedures to screen out ineligible or inappropriate claims while
keeping administrative expenses as low as possible consistent with the
goal of ensuring that funds are not diverted to processing ineligible
claims in order to maximize the amount of funds available for
claimants. Finally, based on past practice with the operation of the
original Fund and the necessity to establish the legal and
administrative framework for the reopened Fund, the Department
concludes that there are no viable non-regulatory actions that it could
take to implement the Zadroga Act in a fair and efficient manner.
Executive Order 13132--Federalism
This regulation will not have substantial direct effects on the
States, on the relationship between the national government and the
States, or on distribution of power and responsibilities among the
various levels of government. Therefore, in accordance with Executive
Order 13132, it is determined that this rule does not have sufficient
federalism implications to warrant the preparation of a Federalism
Assessment. However, the Department of Justice has worked cooperatively
with state and local officials in the affected communities in the
preparation of this rule. Also, the Department individually notified
national associations representing elected officials regarding this
rulemaking.
Executive Order 12988--Civil Justice Reform
This regulation meets the applicable standards set forth in
sections 3(a) and 3(b)(2) of Executive Order 12988.
Unfunded Mandates Reform Act of 1995
This rule will not result in the expenditure by State, local and
tribal governments, in the aggregate, or by the private sector, of
$100,000,000 or more in any one year, and it will not significantly or
uniquely affect small governments. Therefore, no actions were deemed
necessary under the provisions of the Unfunded Mandates Reform Act of
1995.
Small Business Regulatory Enforcement Fairness Act of 1996
This rule is not a major rule as defined by section 804 of the
Small Business Regulatory Enforcement Fairness Act of 1996. This rule
will not result in an annual effect on the economy of $100,000,000 or
more; a major increase in costs or prices; or significant adverse
effects on competition, employment, investment, productivity,
innovation, or on the ability of United States-based companies to
compete with foreign-based companies in domestic and export markets.
[[Page 54120]]
List of Subjects in 28 CFR Part 104
Disaster assistance, Disability benefits, Terrorism.
Accordingly, for the reasons set forth in the preamble, Part 104 of
chapter I of Title 28 of the Code of Federal Regulations is amended by
revising part 104 to read as follows:
PART 104--SEPTEMBER 11TH VICTIM COMPENSATION FUND
Subpart A--General; Eligibility
Sec.
104.1 Purpose.
104.2 Eligibility definitions and requirements.
104.3 Other definitions.
104.4 Personal Representative.
104.5 Foreign claims.
104.6 Amendments to this part.
Subpart B--Filing for Compensation
104.21 Presumptively covered conditions.
104.22 Filing for compensation.
Subpart C--Claim Intake, Assistance, and Review Procedures
104.31 Procedure for claims evaluation.
104.32 Eligibility review.
104.33 Hearing.
104.34 Publication of awards.
104.35 Claims deemed abandoned by claimants.
Subpart D--Amount of Compensation for Eligible Claimants
104.41 Amount of compensation.
104.42 Applicable state law.
104.43 Determination of presumed economic loss for decedents.
104.44 Determination of presumed noneconomic losses for decedents.
104.45 Determination of presumed economic loss for claimants who
suffered physical harm.
104.46 Determination of presumed noneconomic losses for claimants
who suffered physical harm.
104.47 Collateral sources.
Subpart E--Payment of Claims
104.51 Payments to eligible individuals.
104.52 Distribution of award to decedent's beneficiaries.
Subpart F--Limitations
104.61 Limitation on civil actions.
104.62 Time limit on filing claims.
104.63 Subrogation.
Subpart G--Measures To Protect the Integrity of the Compensation
Program
104.71 Procedures to prevent and detect fraud.
Subpart H--Attorney Fees
104.81 Limitation on attorney fees.
Authority: Title IV of Pub. L. 107-42, 115 Stat. 230, 49 U.S.C.
40101 note; Title II of Pub. L. 111-347, 124 Stat. 3623.
Subpart A--General; Eligibility
Sec. 104.1 Purpose.
This part implements the provisions of the September 11th Victim
Compensation Fund of 2001, Title IV of Public Law 107-42, 115 Stat. 230
(Air Transportation Safety and System Stabilization Act), as amended by
the James Zadroga 9/11 Health and Compensation Act of 2010, Title II of
Public Law 111-347, to provide compensation to eligible individuals who
were physically injured as a result of the terrorist-related aircraft
crashes of September 11, 2001, or debris removal during the immediate
aftermath of those crashes, and to the ``personal representatives'' of
those who were killed as a result of the crashes. All compensation
provided through the Fund will be on account of personal physical
injuries or death.
Sec. 104.2 Eligibility definitions and requirements.
(a) Eligible claimants. The term eligible claimants means:
(1) Individuals present at a 9/11 crash site at the time of or in
the immediate aftermath of the terrorist-related aircraft crashes and
who suffered physical harm, as defined herein, as a direct result of
the crashes or debris removal;
(2) The Personal Representatives of deceased individuals aboard
American Airlines flights 11 or 77 and United Airlines flights 93 or
175; and
(3) The Personal Representatives of individuals who were present at
a 9/11 crash site at the time of or in the immediate aftermath of the
crashes and who died as a direct result of the terrorist-related
aircraft crash.
(4) The term eligible claimants does not include any individual or
representative of an individual who is identified to have been a
participant or conspirator in the terrorist-related crashes of
September 11.
(b) Immediate aftermath. The term immediate aftermath means any
period beginning with the terrorist-related aircraft crashes of
September 11, 2001, and ending on May 30, 2002.
(c) Physical harm. (1) The term physical harm shall mean a physical
injury to the body that was treated by a medical professional within a
reasonable time from the date of discovering such harm; and
(2) The physical injury must be verified by medical records created
by or at the direction of the medical professional who provided the
medical care contemporaneously with the care.
(d) Personal Representative. The term Personal Representative shall
mean the person determined to be the Personal Representative under
Sec. 104.4 of this part.
(e) WTC Health Program. The term WTC Health Program means the World
Trade Center Health Program established by Title I of Public Law 111-
347 (codified at Title XXXIII of the Public Health Service Act, 42
U.S.C. 300mm through 300mm-61).
(f) WTC-related health condition. The term WTC-related health
condition means those health conditions identified as WTC-related by
Title I of Public Law 111-347 and by regulations implementing that
Title.
(g) 9/11 crash site. The term 9/11 crash site means:
(1) The World Trade Center site, Pentagon site, and Shanksville,
Pennsylvania site; or
(2) The buildings or portions of buildings that were destroyed as a
result of the terrorist-related airplane crashes of September 11, 2001;
or
(3) The area in Manhattan south of the line that runs along Canal
Street from the Hudson River to the intersection of Canal Street and
East Broadway, north on East Broadway to Clinton Street, and east on
Clinton Street to the East River; or
(4) Any other area contiguous to the crash sites that the Special
Master determines was sufficiently close to the site that there was a
demonstrable risk of physical harm resulting from the impact of the
aircraft or any subsequent fire, explosions, or building collapses
(including the immediate area in which the impact occurred, fire
occurred, portions of buildings fell, or debris fell upon and injured
individuals); or
(5) Any area related to, or along, routes of debris removal, such
as barges and Fresh Kills.
Sec. 104.3 Other definitions.
(a) Beneficiary. The term beneficiary shall mean a person to whom
the Personal Representative shall distribute all or part of the award
under Sec. 104.52 of this part.
(b) Dependents. The Special Master shall identify as dependents
those persons so identified by the victim on his or her Federal tax
return for the year prior to the year of the victim's death (or those
persons who legally could have been identified by the victim on his or
her Federal tax return for the year prior to the year of the victim's
death) unless:
(1) The claimant demonstrates that a minor child of the victim was
born or adopted on or after January 1 of the year of the victim's
death;
(2) Another person became a dependent in accordance with then-
applicable law on or after January 1 of the year of the victim's death;
or
[[Page 54121]]
(3) The victim was not required by law to file a Federal income tax
return for the year prior to the year of the victim's death.
(c) Spouse. The Special Master shall identify as the spouse of a
victim the person reported as spouse on the victim's Federal tax return
for the year prior to the year of the victim's death (or the person who
legally could have been identified by the victim on his or her Federal
tax return for the year prior to the year of the victim's death)
unless:
(1) The victim was married or divorced in accordance with
applicable state law on or after January 1 of the year of the victim's
death; or
(2) The victim was not required by law to file a Federal income tax
return for the year prior to the year of the victim's death.
(d) The Act. The Act, as used in this part, shall mean Public Law
107-42, 115 Stat. 230 (``Air Transportation Safety and System
Stabilization Act''), 49 U.S.C. 40101 note, as amended by the James
Zadroga 9/11 Health and Compensation Act of 2010, Title II of Public
Law 111-347.
(e) Victim. The term victim shall mean an eligible injured claimant
or a decedent on whose behalf a claim is brought by an eligible
Personal Representative.
(f) Substantially Complete. A claim becomes substantially complete
when, in the opinion of the Special Master or her designee, the claim
contains sufficient information and documentation to determine both the
claimant's eligibility and, if the claimant is eligible, an appropriate
award.
Sec. 104.4 Personal Representative.
(a) In general. The Personal Representative shall be:
(1) An individual appointed by a court of competent jurisdiction as
the Personal Representative of the decedent or as the executor or
administrator of the decedent's will or estate.
(2) In the event that no Personal Representative or execu